PDF(Pubmed)
Abstract：
BACKGROUND: Cirrhosis treatment implies prevention and alleviation of serious disease events. Healthcare providers may, however, fail to meet patients\' expectations of collaboration and specific needs of information and support. Individualised nursing care could meet patients\' needs. The aim was thus to measure patient-perceived quality of care after adjunctive registered nurse-based intervention Quality Liver Nursing Care Model (QLiNCaM) compared with standard medical care.
METHODS: This pragmatic multicentre study consecutively randomised patients to either adjunctive registered nurse-based care, or standard medical care for 24 months (ClinicalTrials.gov NCT02957253). Patients were allocated to either group at an equal ratio, at six Swedish outpatient clinics during 2016-2022. Using the questionnaire \'Quality of care from the patient\'s perspective\', patients rated their perceived lack of quality for the adjunctive registered nurse-based intervention compared with the control group at 12 and 24 months, respectively.
RESULTS: In total, 167 patients were recruited. Seven out of 22 items in the questionnaire supported the finding that \'lacking quality\' decreased with adjunctive registered nurse-based care (p < 0.05) at 12 months follow-up; however, these differences could not be established at 24 months.
CONCLUSIONS: Additional structured registered nurse-based visits in the cirrhosis outpatient team provided support for improved patient-perceived quality of care during the first 12 months. Registered nurses increase patient involvement and present easy access to cirrhosis outpatient care. Patients express appreciation for personalised information. This study reinforces registered nurses\' role in the outpatient cirrhosis team, optimising patient care in compensated and decompensated cirrhosis.
BACKGROUND: Registered at Clinical Trials 18th of October 2016, [ https://www.
RESULTS: gov ], registration number: NCT02957253.
METHODS: This pragmatic multicentre study consecutively randomised patients to either adjunctive registered nurse-based care, or standard medical care for 24 months (ClinicalTrials.gov NCT02957253). Patients were allocated to either group at an equal ratio, at six Swedish outpatient clinics during 2016-2022. Using the questionnaire \'Quality of care from the patient\'s perspective\', patients rated their perceived lack of quality for the adjunctive registered nurse-based intervention compared with the control group at 12 and 24 months, respectively.
RESULTS: In total, 167 patients were recruited. Seven out of 22 items in the questionnaire supported the finding that \'lacking quality\' decreased with adjunctive registered nurse-based care (p < 0.05) at 12 months follow-up; however, these differences could not be established at 24 months.
CONCLUSIONS: Additional structured registered nurse-based visits in the cirrhosis outpatient team provided support for improved patient-perceived quality of care during the first 12 months. Registered nurses increase patient involvement and present easy access to cirrhosis outpatient care. Patients express appreciation for personalised information. This study reinforces registered nurses\' role in the outpatient cirrhosis team, optimising patient care in compensated and decompensated cirrhosis.
BACKGROUND: Registered at Clinical Trials 18th of October 2016, [ https://www.
RESULTS: gov ], registration number: NCT02957253.
摘要：
背景：肝硬化治疗意味着预防和减轻严重疾病事件。医疗保健提供者可以，然而,未能满足患者对合作的期望以及对信息和支持的特定需求。个性化护理可以满足患者的需求。因此，目的是与标准医疗相比，在辅助注册护士为基础的干预优质肝脏护理模式（QLiNCaM）之后，测量患者感知的护理质量。
方法：这项务实的多中心研究将患者连续随机分配到任一辅助注册护士护理中，或24个月的标准医疗护理（ClinicalTrials.govNCT02957253）。患者以相等的比例分配到任何一组，在2016-2022年期间，在6家瑞典门诊诊所。使用问卷“从患者角度出发的护理质量”，在12个月和24个月时，与对照组相比，患者对辅助注册护士干预的感知质量不足进行了评分。分别。
结果：总计，招募了167名患者。问卷的22个项目中有7个支持“缺乏质量”的发现，在12个月的随访中，辅助注册护士护理降低了（p<0.05）；但是，这些差异在24个月时无法确定。
结论：肝硬化门诊团队中额外的结构化注册护士访视为前12个月改善患者感知的护理质量提供了支持。注册护士增加患者的参与，并提供容易获得肝硬化门诊护理。患者对个性化信息表示赞赏。这项研究加强了注册护士在门诊肝硬化团队中的作用，在代偿和失代偿性肝硬化中优化患者护理。
背景：在2016年10月18日的临床试验中注册，[https://www.
结果：gov]，注册号：NCT02957253。
方法：这项务实的多中心研究将患者连续随机分配到任一辅助注册护士护理中，或24个月的标准医疗护理（ClinicalTrials.govNCT02957253）。患者以相等的比例分配到任何一组，在2016-2022年期间，在6家瑞典门诊诊所。使用问卷“从患者角度出发的护理质量”，在12个月和24个月时，与对照组相比，患者对辅助注册护士干预的感知质量不足进行了评分。分别。
结果：总计，招募了167名患者。问卷的22个项目中有7个支持“缺乏质量”的发现，在12个月的随访中，辅助注册护士护理降低了（p<0.05）；但是，这些差异在24个月时无法确定。
结论：肝硬化门诊团队中额外的结构化注册护士访视为前12个月改善患者感知的护理质量提供了支持。注册护士增加患者的参与，并提供容易获得肝硬化门诊护理。患者对个性化信息表示赞赏。这项研究加强了注册护士在门诊肝硬化团队中的作用，在代偿和失代偿性肝硬化中优化患者护理。
背景：在2016年10月18日的临床试验中注册，[https://www.
结果：gov]，注册号：NCT02957253。
