检索结果-南通市图书馆

A family nurse-led intervention for reducing health services’utilization in individuals with chronic diseases:The ADVICE pilot study

引用

International Journal of Nursing Sciences 2021年第3期8卷 264-270,I0002页

作者： Serenella Savini Paolo Iovino Dario Monaco Roberta Marchini Tiziana Di Giovanni Giuseppe Donato Ausilia Pulimeno Carmela Matera Giuseppe Quintavalle Carlo Turci ASL Rome 4 RomeItaly Department of Biomedicine and Prevention University of Rome Tor VergataRomeItaly School of Nursing Midwifery and paramedicine Faculty of health sciencesAustralian Catholic UniversityMelbourneAustralia Presidente Ordine Professioni Infermieristiche RomeItaly

Objectives:Intensive health services'utilization is common in older individuals affected by chronic *** study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic ***:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 *** home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health *** of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's *** factors associated with the risk of health services'use were explored with a Cox proportional hazard regression ***:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)*** mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,Pservices'***:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.

关键词： Aged Chronic disease Facilities and services utilization Family nurse practitioners Patient readmission home care services Health services

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

To Die at home or to End Life in an Institution

引用

Open Journal of Nursing 2015年第6期5卷 538-547页

作者： Liv Wergeland Sorbye Simen A.Steindal Svein Lyngroth Institute of Nursing and Health Diakonhjemmet University CollegeOsloNorway Palliative care Unit Department of OncologyOslo University HospitalOsloNorway Agenda Kaupang Evaluation&AssessmentB■rumNorway

In the Western world, 60%-80% of all deaths occur in an institution. This study aimed to determine the main causes for the low proportion of deaths at home in Norway. A retrospective cohort study was conducted in six Norwegian municipalities. The study employed official statistics and structured interviews with key staff individuals (spring 2012). We included 41 individuals that received palliative home care;21 died at home. The rate of deaths at home may be increased by an acceptance of death and confidence that home is a good, safe place to die. This study showed how challenging it was for the family and health personnel to be a fellow Pellegrino in the last steps of life. However, when physical distress is under control, and when a dying patient and his significant other genuinely wish for death at home, it is necessary to control physical distress. Greater holistic well-being may then be achieved at home than in the hospital.

关键词： home care services Attitude towards Death Retrospective Cohort Studyomponent

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds:a modified Delphi study

引用

Burns & Trauma 2021年第1期9卷 12-21页

作者： Yao Huang Beiqian Mao Jiale Hu Bing Xu Pengwen Ni Lili Hou Ting Xie Wound Healing Center at Emergency Department Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200011China Shanghai Jiao Tong University School of Nursing Shanghai 200025China Department of Nurse Anesthesia Virginia Commonwealth UniversityVirginia 23298USA Nursing Department Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200011China

Background:The study aimed to develop consensus on the components of health education of home-based negative pressure wound therapy(NPWT)for patients with chronic ***:A Delphi method was used to achieve consensus on the components of health education and 75%agreement and coefficient of variation(CV)home-based NPWT,health education for the treatment day of NPWT at hospital and health education for NPWT at ***:This study was the first attempt to develop consensus on the comprehensive components of health education of home-based NPWT for patients with chronic *** to the established framework and components of health education,wound professionals can safely and effectively implement health education of home-based NPWT for patients with chronic wounds and improve their self-care ability and treatment experience at home.

关键词： Wound healing Negative pressure wound therapy home care services Delphi study Chronic wound Self-care

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：