国际护理科学（英文）2021，Vol.8Issue(3)：264-270,后插2,8.
通过家庭护士主导的健康教育减少慢性病患者就医的试点研究
A family nurse-led intervention for reducing health services' utilization in individuals with chronic diseases:The ADVICE pilot study
Serenella Savini 1Carlo Turci 1Paolo Iovino 1Dario Monaco 1Roberta Marchini 1Tiziana Di Giovanni 1Giuseppe Donato 1Ausilia Pulimeno 1Carmela Matera 1Giuseppe Quintavalle1
作者信息
摘要
Abstract
Objectives:Intensive health services' utilization is common in older individuals affected by chronic diseases.This 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 conditions.Methods: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 months.Standard 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 compli-cations,medication adherence,and health behaviours.Rates of health services' use were collected immediately before (T0),and after the interventions (T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services' use were explored with a Cox proportional hazard regression model.Results:The sample (n =78) was predominantly female (n =50,64.1％),and had a mean age of 76.2(SD =4.8) years.Diabetes mellitus was the most frequent disease (n =27,34.6％).McNemar's test indicated a significant reduction in health services' use at T1 (McNemar x2 =28.03,P ＜ 0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services' use.Conclusion: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
老年人/慢性病/设施和服务利用/家庭护士/家庭护理服务/健康服务/患者教育/患者再入院Key words
Aged/Chronic disease/Facilities and services utilization/Family nurse practitioners/Patient readmission/Home care services/Health services引用本文复制引用
Serenella Savini,Carlo Turci,Paolo Iovino,Dario Monaco,Roberta Marchini,Tiziana Di Giovanni,Giuseppe Donato,Ausilia Pulimeno,Carmela Matera,Giuseppe Quintavalle..通过家庭护士主导的健康教育减少慢性病患者就医的试点研究[J].国际护理科学（英文）,2021,8(3):264-270,后插2,8.
