中华护理杂志 ›› 2020, Vol. 55 ›› Issue (9): 1412-1419.DOI: 10.3761/jissn.0254-1 769.2020.09.026
收稿日期:
2019-09-03
出版日期:
2020-09-15
发布日期:
2020-09-03
作者简介:
汪晖:女,本科,主任护师,护理部主任, E-mail:WANG Hui(),WANG Ying,LIU Yu,WANG Binghua,YUE Xiao,KE Jian,HU Kaili,YANG Chunzi
Received:
2019-09-03
Online:
2020-09-15
Published:
2020-09-03
摘要:
目的 检索、评价和整合出院计划实践方案关键任务相关证据,为出院计划的临床实践提供参考。方法 计算机检索英国国家卫生与临床优化研究所、新西兰指南工作组、苏格兰校际指南网、美国国立指南库、加拿大指南库、英国指南库、国际指南协作网、澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)卫生保健数据库、加拿大安大略护理学会、美国医疗保险和医疗补助服务中心、爱尔兰国家医疗服务中心、医脉通、UpToDate、Cochrane协作网、CINAHL、PubMed、中国知网、万方数据库、中国生物医学文献数据库和维普数据库中关于出院计划的有关标准、指南、专家共识、政府文件、最佳/推荐实践、证据总结、系统评价。由3名研究者对文献质量进行评价和资料提取,对符合质量标准的文献进行证据提取。采用临床指南研究与评价系统和澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对各类研究进行文献质量评价及证据级别评定。结果 共纳入19篇文献,包括3篇标准、5篇指南、3篇专家共识、1篇专家意见、2篇政府文件、1篇推荐实践信息册、1篇证据总结、1篇临床决策、2篇系统评价。沿患者入院至出院时间轴,分入院24 h、住院期间、出院前24 h、出院当日、出院后5个时间段共提取33条证据。结论 出院计划实践方案关键任务的证据总结科学规范,各级医院、各病种可在此基础上发展个性化的出院计划实践方案,以促进患者安全有效出院。
汪晖,王颖,刘于,王冰花,乐霄,柯键,胡凯利,杨纯子. 住院患者出院计划关键任务的证据总结[J]. 中华护理杂志, 2020, 55(9): 1412-1419.
WANG Hui,WANG Ying,LIU Yu,WANG Binghua,YUE Xiao,KE Jian,HU Kaili,YANG Chunzi. Evidence summary for key tasks of discharge planning in hospitalized patients[J]. Chinese Journal of Nursing, 2020, 55(9): 1412-1419.
[1] | Centers for Medicare & Medicaid Services. Revision to State Operations Manual(SOM),Hospital Appendix A - Interpretive Guidelines for 42 CFR 482.43,Discharge Planning[EB/OL]. (2013-05-17)[2019-08-20]. https://www.cms.gov/Medicare/Provi-der-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-13-32.html. |
[2] |
Pedersen PU, Ersgard KB, Soerensen TB, et al. Effectiveness of structured planned post discharge support to patients with chronic obstructive pulmonary disease for reducing readmission rates:a systematic review[J]. JBI Database System Rev Implement Rep, 2017,15(8):2060-2086.
DOI URL PMID |
[3] |
Gonçalves-Bradley DC, Lannin NA, Clemson LM, et al. Discharge planning from hospital[J]. Cochrane Database Syst Rev, 2016(1):CD000313.
DOI URL PMID |
[4] |
Pellett C. Discharge planning:best practice in transitions of care[J]. Br J Community Nurs, 2016,21(11):542-548.
DOI URL PMID |
[5] |
Mennuni M, Gulizia MM, Alunni G, et al. ANMCO position paper:hospital discharge planning:recommendations and standards[J]. Eur Heart J Suppl, 2017,19(Suppl D):D244-D255.
DOI URL PMID |
[6] | 陈琴, 姜小鹰, 钟清玲, 等. 慢性阻塞性肺疾病患者应用出院计划服务的效果评价[J]. 中华护理杂志, 2012,47(9):790-794. |
[7] | 王冰花, 汪晖, 杨纯子, 等. 冠心病患者出院准备度现状及其影响因素的研究[J]. 中华护理杂志, 2017,52(2):138-143. |
[8] | 柯丽清. 出院计划对脑卒中吞咽障碍患者护理效果的影响[D]. 福州:福建中医药大学, 2016. |
[9] | 周芬, 郝玉芳, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J]. 护理学报, 2018,25(18):56-58. |
[10] | The Joanna Briggs Institute. JBI critical appraisal checklist for text and opinion paper[EB/OL]. (2017-07-15) [2019-08-20]. https://joannabriggs.org/critical_appraisal_tools. |
[11] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018: 83. |
[12] | Health Service Executive. HSE code of practice for integrated discharge planning[EB/OL].(2008-11)[2019-08-20]. https://www.hse.ie/eng/about/who/qid/quality-and-patient-safety-documents/code-practiceintdisplanning.pdf. |
[13] | National Institute for Health and Care Excellence. Transition between inpatient hospital settings and community or care home settings for adults with social care needs(QS136)[EB/OL]. (2016-12)[2019-08-20]. https://www.nice.org.uk/guidance/qs136. |
[14] | Health Service Executive. Integrated Care Guidance:a practical guide to discharge and transfer from hospital[EB/OL]. (2014-03)[2019-08-20]. https://www.hse.ie/eng/about/who/qid/resourcespublications/nationalintegratedcareguidance.pdf. |
[15] | Health Service Executive. Guidelines for Nurse/Midwife Facili-tated Discharges Planning[EB/OL].( 2009-07)[2019-08-20]. https://www.hse.ie/eng/about/who/qid/quality-and-patient-safety-documents/guidelines-for-nurse-facilitated-discharges-july-09.pdf. |
[16] | National Institute for Health and Care Excellence. Transition between inpatient hospital settings and community or care home settings for adults with social care needs(NG27)[EB/OL]. (2015-12)[2019-08-20]. https://www.nice.org.uk/guidance/ng27. |
[17] | National Institute for Health and Care Excellence. Healthcare-associated infections:prevention and control in primary and community care(CG139)[EB/OL]. (2017-02)[2019-08-20]. https://www.nice.org.uk/guidance/cg139. |
[18] | Joint British Diabetes Societies for Inpatient Care. Discharge planning for adult inpatients with diabetes[EB/OL]. (2015-10)[2019-08-20]. http://guide.medlive.cn/guideline/12480. |
[19] | Robeznieks A. Successful handoff:a good discharge planning process follows a patient across the continuum of care from hospital to home[J]. Hospitals & Health Networks/AHA, 2017,91(6):38-43. |
[20] | Agency for Healthcare Research and Quality. Care transitions from hospital to home:IDEAL discharge planning[EB/OL]. (2013-06)[2019-08-20]. https://www.ahrq.gov/professionals/sys-tems/hospital/engagingfamilies/strategy4/index.html. |
[21] | Centers for Medicare & Medicaid Services. Revisions to requirements for discharge planning for hospitals,critical access hospitals,and home health agencies[EB/OL]. (2015-11-03)[2019-08-20]. |
[22] | Centers for Medicare & Medicaid Services. CMS updates gui-dance for hospital discharge planning[EB/OL].( 2013-05-17)[2019-08-20]. https://www.medicareadvocacy.org/cms-updates-gui-dance-for-hospital-discharge-planning/. |
[23] | Agency for Healthcare Research and Quality. Re-engineered discharge (RED) toolkit[EB/OL]. (2013-03)[2019-08-20]. https:// www.ahrq.gov/sites/default/files/publications/files/redtoolkit.pdf. |
[24] | Long Khanh-Dao LeB. Health care facility:patient discharge [EB/OL]. (2016)[2018-12-13]. http://ovidsp.dc2.ovid.com/sp-4.03.0b/ovidweb.cgi?&S=NCOPFPCAKDEBOAFIJPCKOGHGJC-GKAA00&Link+Set=S.sh.21%7c1%7csl_190. |
[25] | UpToDate. Hospital discharge and readmission[EB/OL]. (2017- 12-19)[2019-08-20]. https://www.uptodate.com/contents/hospital-discharge-and-readmission. |
[26] |
Preyde M, Brassard K. Evidence-based risk factors for adverse health outcomes in older patients after discharge home and assessment tools:a systematic review[J]. J Evid Based Soc Work, 2011,8(5):445-468.
DOI URL PMID |
[27] |
Scott IA. Preventing the rebound:improving care transition in hospital discharge processes[J]. Aust Health Rev, 2010,34(4):445-451.
DOI URL PMID |
[28] |
Chinthammit C, Armstrong EP, Warholak TL. A cost-effectiveness evaluation of hospital discharge counseling by pharmacists[J]. J Pharm Pract, 2012,25(2):201-208.
DOI URL PMID |
[29] |
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based me-dication reconciliation practices:a systematic review[J]. Arch Intern Med, 2012,172(14):1057-1069.
DOI URL |
[30] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015,30(11):964-967. |
[31] |
Zhu QM, Liu J, Hu HY, et al. Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease or rehabilitation needs:a systematic review and meta-analysis[J]. J Clin Nurs, 2015,24(19/20):2993-3005.
DOI URL |
[32] |
Allen J, Hutchinson AM, Brown R, et al. Quality care outcomes following transitional care interventions for older people from hospital to home:a systematic review[J]. BMC Health Serv Res, 2014,14:346.
DOI URL PMID |
[33] |
Shepperd S, Lannin NA, Clemson LM, et al. Discharge planning from hospital to home[J]. Cochrane Database Syst Rev, 2013(1):CD000313.
URL PMID |
[34] |
Holland DE, Hemann MA. Standardizing hospital discharge plan-ning at the Mayo Clinic[J]. Jt Comm J Qual Patient Saf, 2011,37(1):29-36.
DOI URL PMID |
[35] |
Blaylock A, Cason CL. Discharge planning:predicting patients’ needs[J]. J Gerontol Nurs, 1992,18(7):5-9.
DOI URL PMID |
[36] |
Hansen LO, Young RS, Hinami K, et al. Interventions to reduce 30-day rehospitalization:a systematic review[J]. Ann Intern Med, 2011,155(8):520-528.
DOI URL |
[37] |
Laugaland K, Aase K, Barach P. Interventions to improve patient safety in transitional care:a review of the evidence[J]. Work, 2012,41(Suppl 1):2915-2924.
DOI URL |
[38] |
Toles MP, Abbott KM, Hirschman KB, et al. Transitions in care among older adults receiving long-term services and supports[J]. J Gerontol Nurs, 2012,38(11):40-47.
DOI URL |
[39] |
Nosbusch JM, Weiss ME, Bobay KL. An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning[J]. J Clin Nurs, 2011,20(5/6):754-774.
DOI URL |
[40] |
Rogers AM, Ramanath VS, Grzybowski M, et al. The association between guideline-based treatment instructions at the point of discharge and lower 1-year mortality in medicare patients after acute myocardial infarction:the American College of Cardiology’s Guidelines Applied in Practice (GAP) initiative in Michigan[J]. Am Heart J, 2007,154(3):461-469.
DOI URL PMID |
[41] |
Connolly M, Grimshaw J, Dodd M, et al. Systems and people under pressure:the discharge process in an acute hospital[J]. J Clin Nurs, 2009,18(4):549-558.
DOI URL PMID |
[42] |
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care:a systematic review[J]. Ann Intern Med, 2012,157(6):417-428.
DOI URL PMID |
[43] |
Cobley CS, Fisher RJ, Chouliara N, et al. A qualitative study exploring patients’ and carers’ experiences of early supported discharge services after stroke[J]. Clin Rehabil, 2013,27(8):750-757.
DOI URL PMID |
[44] |
Leppin AL, Gionfriddo MR, Kessler M, et al. Preventing 30-day hospital readmissions:a systematic review and meta-analysis of randomized trials[J]. JAMA Intern Med, 2014,174(7):1095-1107.
DOI URL PMID |
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