关键词: COVID-19 anxiety community health discharge instructions disease management efficiency guidelines triage

Mesh : COVID-19 Emergency Service, Hospital Humans Pandemics Patient Discharge SARS-CoV-2

来  源:   DOI:10.1177/21501327211024400   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Clinicians treating COVID-19 patients face a major challenge in providing an effective relationship with patients who are discharged to return to home in order to optimize patient self-management after discharge. The purpose of these discharge instructions is to assist and provide guidance for physicians, nurses, and other health care personnel involved in discharging COVID-19 patients to home after encounters at hospitals, emergency departments, urgent care settings, and medical offices.
A systematic literature-search of studies evaluating both symptoms and signs of COVID-19 was performed in order to establish specific optimal performance criteria in monitoring a patient\'s status with regard to disease safety. These optimal performance criteria parameters were considered with regard to the severity of morbidity and mortality. Strategies used to develop the discharge instructions included review of a broad spectrum of literature to develop the discharge criteria.
These guidelines are presented for patient education and should achieve the essential goals including: enabling patients to understand their medical situation, preventing complications, supporting patients by providing instructions, helping patients make more effective use of available health services, and managing patient stress by giving patients comfort through the knowledge of specific recommendations including how to respond to situations.
The COVID-19 pandemic requires clinicians to efficiently teach their patients self-management strategies and to provide a safe educated response to the patient and the surrounding community environment. The primary goal of the patient education discharge-instructions (PEDI) is to provide self-management strategies for preventing complications and disease transmission.
摘要:
治疗COVID-19患者的临床医生在与出院后返回家中的患者建立有效的关系以优化患者出院后的自我管理方面面临着重大挑战。这些出院指示的目的是协助和指导医生,护士,和其他参与将COVID-19患者在医院相遇后送回家的医护人员,急诊科,紧急护理设置,和医疗办公室。
对评估COVID-19症状和体征的研究进行了系统的文献检索,以建立监测患者疾病安全性状况的特定最佳性能标准。考虑到发病率和死亡率的严重程度,考虑了这些最佳性能标准参数。用于制定出院说明的策略包括审查广泛的文献以制定出院标准。
这些指南是针对患者教育而提出的,应实现基本目标,包括:使患者能够了解他们的医疗状况。预防并发症,通过提供指导来支持患者,帮助患者更有效地利用现有的医疗服务,和管理患者的压力,通过具体的建议,包括如何应对情况的知识给予患者安慰。
COVID-19大流行要求临床医生有效地教授患者自我管理策略,并为患者和周围的社区环境提供安全的有教养的反应。患者教育出院指导(PEDI)的主要目标是提供预防并发症和疾病传播的自我管理策略。
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