心脏移植和心力衰竭咨询中的病例管理护士系统性回顾。

Paula Villarreal-Granda, Amada Recio-Platero, Yara Martín-Bayo, Carlos Durantez-Fernández, Rosa M Cárdaba-García, Lucía Pérez-Pérez, Miguel Madrigal, Alba Muñoz-Del Caz, Esther Bahillo Ruiz, Lourdes Jiménez-Navascués, Pedro Prieto Zambrano, Veronica Velasco-Gonzalez
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引用次数: 0

摘要

摘要分析病例管理护士在移植和心力衰竭专科实践中的职能和活动:本系统综述根据 PRISMA 指南进行报告。对所选文章进行了详细的批判性阅读,并核实了乔安娜-布里格斯研究所的证据级别和推荐等级。文献检索的领域仅限于最近 5 年:护理人员提供的健康教育对心力衰竭和心脏移植患者至关重要。健康教育必须以证据为基础,主要侧重于促进自我护理和坚持治疗,但也包括其他方面,如患者对体征和症状的识别。这两项活动对于预防心衰失代偿,从而降低再入院率和死亡率至关重要:护理在心力衰竭和心脏移植患者的多学科护理计划中扮演着重要角色。病例管理护士的角色因其成本效益高、改善治疗依从性、减少住院时间和死亡率而脱颖而出。护理在这一实践中的职能确保了不同医疗层面之间护理的连续性和协调性,提高了患者的生活质量。
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Systematic Review of Case Manager Nurse in Heart Transplant and Heart Failure Consultation.

Objective: To analyze the functions and activities of the case manager nurse in the specialized practice of transplantation and heart failure.

Method: This systematic review is reported according to the PRISMA guidelines. Selected articles were subjected to a detailed critical reading and the evidence levels and recommendation grades of the Joanna Briggs Institute were verified. The field of documentation search was limited to the last 5 years.

Results: Health education provided by nursing is key in patients with heart failure and heart transplants. It must be evidence-based and focuses primarily on promoting self-care and adherence to therapy, although it includes other aspects such as recognition of signs and symptoms by the patient. Both activities are essential to prevent decompensations of heart failure, thus reducing hospital readmissions and mortality rates.

Conclusion: Nursing has an essential role in multidisciplinary programs for the care of heart failure and heart transplant patients. Case manager nurse role stands out for being cost effective, as well as for improving treatment compliance and reducing hospital stay and mortality rates. Nursing functions in this practice ensure continuity and coordination of care between the different health levels, increasing the patients' quality of life.

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