Toogood G J, Wilmott K, Jones L, Magee T R, Galland R B
Department of Surgery, Royal Berkshire Hospital, Reading, UK.
J R Coll Surg Edinb. 1998 Aug;43(4):246-7.
A prospective study has been undertaken to determine the feasibility of nurse-led pre-admission clerking of patients with vascular disease. A total of 249 of 300 patients with planned admissions attended the clinic; 91% of patients with varicose veins, 83% of patients about to undergo endovascular procedures and 24% of patients awaiting arterial reconstruction were seen in the clinic. Patients with arterial disease were significantly more likely to rely on other people to bring them to the clinic than those with varicose veins. As a result of their age and frailty and their presenting symptoms, patients with arterial disease are less likely to benefit from a pre-admission clinic than patients with either varicose veins or general surgical disorders.
已开展一项前瞻性研究，以确定由护士主导对血管疾病患者进行入院前诊疗的可行性。计划入院的300名患者中，共有249名到门诊就诊；其中，91%的静脉曲张患者、83%即将接受血管内手术的患者以及24%等待动脉重建的患者在门诊接受了诊疗。与静脉曲张患者相比，动脉疾病患者明显更有可能依赖他人送其前往门诊。由于年龄、身体虚弱以及当前症状等因素，动脉疾病患者从入院前门诊中获益的可能性低于静脉曲张患者或普通外科疾病患者。
