改善糖尿病伴神经性足部创伤患者对治疗方案的依从性。

IF 0.2 Q4 NURSING
Ann-Marie Irons, Mary Elizabeth Pounders
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引用次数: 0

摘要

背景:在东南部各州,糖尿病持续上升。被诊断患有糖尿病相关并发症的个人的医疗费用更高,而且不良结果与错过伤口治疗的预约有关。目的:本临床实践贡献的目的是实施干预措施,以增加门诊伤口诊所的预约和治疗计划的依从性。方法:招募年龄在18岁以上、有神经性足部伤口风险或有神经性足部伤口且每周接受治疗方案的项目参与者。对诊所工作人员进行了调查,了解他们对干预的感知成功和继续干预的意愿。结果:所有接受调查的员工都同意或强烈同意自动提醒系统和激励计划将对患者的生活质量产生重大影响,值得员工继续实施。对照组无患者需要入院接受急症治疗。结论:展望未来的实践,这些干预措施表明了坚持门诊预约和促进患者参与的机会的重要性。对护理的影响:提高门诊预约的出勤率对于提供高质量的患者护理具有重要意义。通过在门诊环境中管理慢性病,可以减少并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Adherence to Treatment Plans in Diabetes Patients With Neuropathic Foot Wounds.

Background: In southeast states, diabetes continues to rise. Medical expenses are higher for -individuals diagnosed with diabetes-related complications, and poor outcomes are associated with missed appointments for wound treatment. Objective: The aim of this clinical practice contribution was to implement interventions to increase adherence to appointments and treatment plans in an outpatient wound clinic. Methods: Project participants over 18 years of age who were at risk for or have neuropathic foot wounds and are on weekly treatment regimens were recruited. Clinic staff were surveyed on the perceived success of and willingness to continue the interventions. Results: All staff surveyed agreed or strongly agreed that an automated reminder system and incentive program would make a significant impact on the patient's quality of life and worth the time and effort for staff to continue implementation. No patients in the control group required admission to acute care for treatment. Conclusions: Going forward with implications for future practice, these interventions demonstrated both the importance of adherence to outpatient appointments and opportunities to promote patient engagement. Implications for Nursing: Improving attendance at outpatient clinic appointments is significant for the delivery of quality patient care. By managing chronic conditions in the outpatient setting, complications can be reduced.

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CiteScore
0.60
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发文量
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