Doran K, Sampson B, Staus R, Ahern C, Schiro D
Cardiac Center at Mercy Hospital, Coon Rapids, Minnesota, USA.
J Cardiovasc Nurs. 1997 Jan;11(2):1-14. doi: 10.1097/00005082-199701000-00004.
Many patients who receive medical interventional cardiology procedures at a tertiary hospital live outside the metropolitan area and may experience fragmentation in care, less emotional support by family members, inaccurate and delayed communication, and lack of educational follow-up on discharge from the hospital. A clinical pathway titled "Heart Health Care Patterns" was developed to link acute phase, recovery phase, rehabilitation phase, and enhancement/maintenance phase. The 12-month clinical pathway combines Gordon's Functional Health Patterns and the Omaha System developed by the Omaha Visiting Nurse Association. The rating scale for outcomes assesses the patient at different phases to provide objective data and information throughout the year.
许多在三级医院接受医学介入心脏病学手术的患者居住在大都市地区以外,可能会经历护理碎片化、家庭成员情感支持较少、沟通不准确和延迟,以及出院后缺乏教育随访等情况。制定了一条名为“心脏健康护理模式”的临床路径,以连接急性期、恢复期、康复期和强化/维持期。为期12个月的临床路径结合了戈登的功能健康模式和奥马哈访问护士协会开发的奥马哈系统。结果评定量表在不同阶段对患者进行评估,以提供一整年的客观数据和信息。