Differences in needs for community collaboration for heart failure between medical and nursing care staff.
Differences in needs for community collaboration for heart failure between medical and nursing care staff.
复制标题
医疗和护理人员对心力衰竭社区合作的需求存在差异。
DOI：
10.1007/s00380-021-01988-8
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Adachi T.
中科院分区：
文献类型：
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作者：
Kinugasa Y;Fukuki M;Hirota Y;Ishiga N;Kato M;Mizuta E;Mura E;Nozaka Y;Omodani H;Tanaka H;Tanaka Y;Watanabe I;Yamamoto K;Adachi T.
老年体弱心力衰竭（HF）患者数量的增加意味着迫切需要建立区域医疗和护理协作系统。然而，医疗和护理人员对心力衰竭协作护理的期望仍不清楚。我们对 2019 年 7 月至 2020 年 7 月在日本鸟取县西部地区通过共同心力衰竭协作途径经历过合作的医院、诊所和护理机构 (NCF) 的工作人员进行了问卷调查。我们收到了来自医院的 150 份回复以及来自诊所和 NCF 的 41 份回复。引入协作途径后，57% 的医院受访者、35% 的诊所受访者和 71% 的 NCF 受访者认为协作有所改善。医院和诊所的工作人员对实施协作途径后教育干预措施的改善最为满意，NCF 工作人员对信息共享的改善最为满意。医院和 NCF 的工作人员最重视通过协作改善信息共享，诊所工作人员最重视提高效率。医院、诊所和 NCF 之间对心力衰竭协作护理的需求有所不同。协作计划的设计应满足社区中不同员工的不同需求。
The increased numbers of older and frail patients with heart failure (HF) means there is an urgent need to establish regional collaborative systems for medical and nursing care. However, expectations related to collaborative HF care among medical and care staff remain unclear. We conducted a questionnaire survey with staff in hospitals, clinics, and nursing care facilities (NCFs) who had experienced collaboration through the common HF collaborative pathway in the western region of Tottori Prefecture, Japan, from July 2019 to July 2020. We received 150 responses from hospitals and 41 responses from clinics and NCFs. Following introduction of the collaborative pathway, 57% of respondents from hospitals, 35% from clinics, and 71% from NCFs rated collaboration as improved. Staff from hospitals and clinics were most satisfied with improved education interventions following implementation of the collaborative pathway, and NCF staff were most satisfied with improved information sharing. Staff from hospitals and NCFs placed the highest importance on improving information sharing through collaboration, and clinic staff placed the highest importance on improving efficiency. The needs for collaborative HF care differ between hospitals, clinics, and NCFs. A collaboration program should be designed to meet the different needs of diverse staff in the community.