促进心力衰竭相互关联的护理:呼吁采取行动,全面评估和管理患者的旅程。

IF 3.8 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Ignazio Cusmano, Monica Loguercio, Francesca Di Salvo, Stefano Gonella, Marco Ambrosetti, Nuccia Morici
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引用次数: 0

摘要

越来越多的证据强调了调查患者历程在管理全身性疾病中的重要性。这在心力衰竭(HF)中尤为重要,在患者的整个护理过程中,要实现长期预后,需要在心力衰竭的早期发现、准确诊断和综合治疗方面取得进展。解决这一挑战需要解决关键障碍,包括劳动力短缺、资金不足以及医疗保健提供者和患者对心衰护理的认识有限。心脏康复(CR)在连续护理中起着关键作用,是吸引和激励患者和护理人员的基石。尽管其价值得到认可,但在将CR整合到相互关联的护理网络和更广泛的医疗保健系统方面,差距仍然存在。本文旨在强调CR作为促进患者稳定的“桥接工具”的重要作用,强调指导医疗治疗的实施,以及促进患者教育和赋权。实现这一整合需要将CR作为心衰患者综合管理途径的核心组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fostering interconnected care in heart failure: a call to action for a comprehensive assessment and management of the patient's journey.

A growing body of evidence underscores the importance of investigating the patient journey in managing systemic disorders. This is particularly relevant in heart failure (HF), a condition in which achieving long-term outcomes requires advancements in the early detection, accurate diagnosis, and comprehensive treatment of HF throughout the patient's care experience. Addressing this challenge necessitates tackling critical barriers, including workforce shortages, insufficient funding, and limited awareness of HF care among both healthcare providers and patients. Cardiac rehabilitation (CR) plays a pivotal role within the continuum of care, serving as a cornerstone for engaging and motivating patients and caregivers. Despite its recognized value, gaps persist in the integration of CR into interconnected care networks and the broader healthcare system. This paper seeks to highlight the essential role of CR as a "bridging tool" to promote patient stabilization, emphasizing the implementation of guideline-directed medical therapy, as well as fostering patient education and empowerment. Achieving this integration requires embedding CR as a central component within the comprehensive management pathway for patients with HF.

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来源期刊
Internal and Emergency Medicine
Internal and Emergency Medicine 医学-医学:内科
CiteScore
7.20
自引率
4.30%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.
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