Analysis of the activity of the telephone nursing consultation on demand for patients with heart failure

Enfermeria clinica (English Edition) Pub Date : 2023-03-01 DOI:10.1016/j.enfcle.2022.11.003

Concepción Cruzado-Álvarez , Alejandro Isidoro Pérez-Cabeza , Ainhoa Robles-Mezcua , María Robles-Mezcua , José Manuel García-Pinilla

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引用次数: 1

Abstract

Objective

Analyzing the most frequent reasons for telephone demand in the heart failure nurse's consultation and to evaluate the response resolution capacity after the call.

Method

Descriptive, retrospective study of all telephone calls recorded between June 2020 and April 2021 in a specific nursing consultation for heart failure care. The main sociodemographic and clinical variables, reason for calling and action carried out by the nurse were extracted from the electronic medical records. For its subsequent descriptive análisis.

Results

643 calls were analyzed, 354 (55.1%) were made by the patients. The most frequent reason for calling was to consult symptoms 45.8% (n = 162). 71.6% (n = 116) of the consultations were resolved by adjusting the pharmacological treatment by telephone, 24.7% (n = 40) required a face-to-face visit in the nurse's consultation, 22 (13.6%) needed emergency care. 5 due to worsening heart failure. The patients who consulted for symptoms had a worse functional class (p = 0.007) and had been referred from hospitalization (p = 0.023).

Conclusions

The telephone consultation was shown to be useful for patients with heart failure, being mainly demanded by users who present symptoms of worsening of their disease.

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心衰患者按需电话护理咨询活动分析

目的分析心衰护理会诊中电话需求最常见的原因，评价电话后的反应解决能力。方法对2020年6月至2021年4月心力衰竭护理咨询中记录的所有电话进行描述性、回顾性研究。从电子病历中提取主要的社会人口学和临床变量、呼叫原因和护士采取的行动。为其随后的描述性análisis。结果共分析来电643次，其中患者来电354次，占55.1%。就诊最常见的原因是询问症状(45.8%)(n = 162)。71.6% (n = 116)的问诊通过电话调整药物治疗解决，24.7% (n = 40)的问诊需要护士当面就诊，22例(13.6%)的问诊需要急诊。5例因心力衰竭加重。因症状就诊的患者功能等级较差(p = 0.007)，且已转院(p = 0.023)。结论电话会诊对心衰患者是有效的，主要是有病情恶化症状的患者需要电话会诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Enfermeria clinica (English Edition)

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