Baker C M, Miller I, Sitterding M, Hajewski C J
Indiana University School of Nursing, Indianapolis 46202-5107, USA.
Nurs Case Manag. 1998 Sep-Oct;3(5):196-203.
Stroke represents a major human and economic challenge to society. The literature suggests that interdisciplinary clinical pathways maximize stroke patient outcomes, whether care is delivered in a designated stroke unit or in a general medical service. In this article, the authors describe the case management model implemented at Columbus Regional Hospital, a 325-bed rural referral hospital in southeastern Indiana. A retrospective chart review compared 23 patients with non-hemorrhagic strokes using two different models of care delivery: unit-based nursing case management and standard nursing care. Differences in outcomes are reported in relation to interdisciplinary utilization, timeliness of referrals, patient education, discharge dispositions, home safety assessments, next-site-of-care communications, length of hospital stay, and patient satisfaction.
中风给社会带来了重大的人力和经济挑战。文献表明，无论护理是在指定的中风单元还是在普通医疗服务中提供，跨学科临床路径都能使中风患者的治疗效果最大化。在本文中，作者描述了印第安纳州东南部一家拥有325张床位的农村转诊医院——哥伦布地区医院实施的病例管理模式。一项回顾性病历审查比较了23例非出血性中风患者采用两种不同护理模式的情况：基于单元的护理病例管理和标准护理。报告了在跨学科利用、转诊及时性、患者教育、出院处置、家庭安全评估、下一护理地点沟通、住院时间和患者满意度方面的结果差异。
