在多民族地区,通过专科护士的教育推广方案,减少了对哮喘患者的计划外护理

Arvid W.A Kamps MD, PhD (Commentary Author)
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引用次数: 4

摘要

问题哮喘专科护士是否减少了医疗服务的使用并改善了不同种族群体的结果?研究设计聚类随机对照试验。主要结果与常规护理相比,专科护士干预降低了第二年参加计划外护理的参与者的百分比(经聚类调整的比值比为0.61,95%CI为0.38至0.99)。专科护士干预推迟了同一时间段内首次参加计划外哮喘护理的时间(危险比[HR]0.73,95%CI 0.54至1.00)与南亚人(HR 0.72,95%CI 0.48至1.09)或其他种族(HR 1.29,95%CI 0.51至3.22)相比,白人(HR 0.57,95%CI 0.38至0.85)的专科护士对就诊时间的干预更大。两组之间的平均住院率没有显著差异。作者的结论:在哮喘专科护士为工作人员提供教育外展和临床支持计划的实践中,哮喘患者的非计划护理减少了。改善后的结果在族裔群体中分布不均。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unscheduled care for people with asthma in a multi-ethnic area is reduced following educational outreach programme by specialist nurses

Question

Do asthma specialist nurses reduce health service use and improve outcomes across different ethnic groups?

Study design

Cluster randomised controlled trial.

Main results

Specialist nurse intervention reduced the percentage of participants attending unscheduled care in the subsequent year compared with usual care (adjusted odds ratio with clustering 0.61, 95% CI 0.38 to 0.99). First attendance for unscheduled asthma care in the same time period was delayed by specialist nurse intervention (hazard ratio [HR] 0.73, 95% CI 0.54 to 1.00). The effect of specialist nurse intervention on time to attendance was greater in white people (HR 0.57, 95% CI 0.38 to 0.85) compared with South Asian people (HR 0.72, 95% CI 0.48 to 1.09) or other ethnicities (HR 1.29, 95% CI 0.51 to 3.22). There were no significant difference in mean rates of hospital admission between groups.

Authors’ conclusions

Unscheduled care for people with asthma was reduced in practices where asthma specialist nurses provided an educational outreach and clinical support programme to staff. Improved outcomes were not equally distributed among ethnic groups.

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