关键词: Community nursing Education Health economics Lymphoedema Patient reported outcome measures

Mesh : Humans Cellulitis Lymphedema / therapy Quality of Life

来  源:   DOI:10.12968/bjon.2024.33.8.360

Abstract:
UNASSIGNED: Lymphoedema is a progressive condition causing significant alterations to life, exerting pressures on unscheduled care from complications including cellulitis and wounds. An on the ground education programme (OGEP) was implemented to raise knowledge, competence and confidence in lymphoedema management in community clinical services. The aim of this study was to explore the impact and outcomes of the OGEP intervention.
UNASSIGNED: Data were captured before and after OGEP on 561 lymphoedema patients in the community setting. Data recorded included resource use, costs and outcomes (EQ-5D-5L and LYMPROM).
UNASSIGNED: Data demonstrated statistically significant reductions in resource allocations including staff visits (P<0.001), cellulitis admissions (P<0.001), compression consumables and wound dressing costs (P<0.001). Overall, the total mean per patient cost decreased from £1457.10 to £964.40 (including intervention) with outcomes significantly improved in EQ-5D-5L/LYMPROM scores.
UNASSIGNED: The analysis suggests the OGEP intervention may offer reductions in resource costs and improvements in patient outcomes. OGEP may therefore provide an innovative solution in future care delivery.
摘要:
淋巴水肿是一种进行性疾病,会导致生命发生重大变化,对包括蜂窝织炎和伤口在内的并发症的计划外护理施加压力。实施了一项实地教育计划(OGEP)以提高知识,社区临床服务中淋巴水肿管理的能力和信心。这项研究的目的是探讨OGEP干预的影响和结果。
采集了社区环境中561名淋巴水肿患者OGEP前后的数据。记录的数据包括资源使用,成本和结果(EQ-5D-5L和LYMPROM)。
数据表明,包括员工访问在内的资源分配在统计学上显著减少(P<0.001),蜂窝织炎入院(P<0.001),压缩耗材和伤口敷料成本(P<0.001)。总的来说,每位患者的总平均费用从1457.10英镑降至964.40英镑(包括干预措施),EQ-5D-5L/LYMPROM评分的结局显著改善.
分析表明,OGEP干预可能会降低资源成本并改善患者预后。因此,OGEP可以在未来的护理交付中提供创新的解决方案。
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