A headache protocol for nurses: effectiveness and efficiency.

A headache protocol for nurses: effectiveness and efficiency.
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护士头痛的方案:有效性和效率。

DOI:
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发表时间:
1976
影响因子:
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通讯作者:
H. Anderson
H. Anderson
中科院分区:
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文献类型:
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作者:
S. Greenfield;A. Komaroff;H. Anderson

文献摘要

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To test the effectiveness and efficiency of a nurse-administered protocol for headache in the primary care setting, we conducted a prospective controlled trial. Two hundred three randomly allocated patients were evaluated by nurses using the protocol who managed independently 55.2% of the patients and received physician consultation on the others. A total of 193 patients were randomly allocated to the physician-control group. Nurse-protocol group patients experienced equivalent symptomatic relief and expressed significantly greater satisfaction with the care they had received than did patients in the physician-control group. A retrospective study of the presenting findings in patients with serious diseases of the CNS provided evidence supporting the safety of the protocol logic. We conclude that nurse-protocol management of headache in this primary care practice was effective and efficient.