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Implementation of a Clinical Algorithm as a Standard Protocol for the Self-Management of Heart Failure in Veterans Participating in the Telehealth Program.

机译：参加远程医疗计划的退伍军人心力衰竭自我管理的标准协议临床算法的实现。

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Heart failure (HF) is a new epidemic in the United States (US) affecting more than six million Americans with over 500,000 new cases annually. HF is the number one cause for hospitalizations in the Veterans' population 65 years and over (Baldonado et al., 2013). At one Veterans' facility fifty percent of these patients are readmitted within six months of discharge because of non-adherence to a prescribed treatment plan, including follow-up using a telehealth approach. Nurses can play a significant role in preventing these re-hospitalizations by providing standardized care and discharge instructions to patients with HF. However, nurses may not have adequate knowledge and competencies related to HF self-management principles to deliver this standardized, evidence-based (EB) care and discharged instructions. The literature has shown that standardization of care using EB interventions improves patient outcomes. Implementing a clinical HF algorithm for nurses providing telehealth care is an effective method for standardizing that care for Veteran patients with HF. The purpose of this EB project was to improve Veteran patients' outcomes by preventing hospital readmission and dropouts from the TH program using such a standardized algorithm. Keywords: heart failure, self-management, clinical practice guidelines, algorithm and nurses knowledge.

机译：心力衰竭（HF）在美国是一种新的流行病，每年影响超过600万美国人，每年新发病例超过500,000。 HF是退伍军人65岁及65岁以上人口住院的第一原因（Baldonado等，2013）。在一家退伍军人医院中，由于不遵守规定的治疗计划，包括使用远程医疗方法进行随访，因此这些病人中有50％在出院后六个月内重新入院。通过为HF患者提供标准化的护理和出院指导，护士可以在预防这些再次住院中发挥重要作用。但是，护士可能没有与HF自我管理原则相关的足够知识和能力，无法提供这种标准化的，循证的（EB）护理和已出院的说明。文献表明，使用EB干预使护理标准化可以改善患者预后。为提供远程医疗护理的护士实施临床HF算法是一种有效的标准化资深HF患者护理的有效方法。该EB项目的目的是通过使用这种标准化算法防止医院再入院和TH计划的辍学来改善退伍军人患者的结局。关键字：心力衰竭，自我管理，临床实践指南，算法和护士知识。

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作者
Simmons, Coreen.;
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Saint Peter's University.;

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授予单位 Saint Peter's University.;
学科 Nursing.;Economics.;Health care management.
学位 D.N.P.
年度 2015
页码 77 p.
总页数 77
原文格式 PDF
正文语种 eng
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1. A Randomized Controlled Trial Comparing Telehealth Self-Management to Standard Outpatient Management in Underserved Black and Hispanic Patients Living with Heart Failure [J] . Pekmezaris Renee, Nouryan Christian N., Schwartz Rebecca, Telemedicine and e-health: the official journal of the American Telemedicine Association . 2019,第10期

机译：随机对照试验比较远程医疗自我管理在心力衰竭生活的欠缺黑白患者中的标准门诊管理
2. Palliative Care for Advanced Heart Failure in a Department of Veterans Affairs Regional Hospice Program: Patient Selection, a Treatment Protocol, and Clinical Course [J] . Taylor George J., Lee Dorothy M., Baicu Catalin F., Journal of palliative medicine . 2017,第10期

机译：退伍军人事务部的先进心力衰竭姑息治疗区域临终关怀计划：患者选择，治疗方案和临床课程
3. Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer [J] . Peter Hanlon, Luke Daines, Christine Campbell, Journal of medical Internet research . 2017,第5期

机译：支持长期自我管理的远程医疗干预：对糖尿病，心力衰竭，哮喘，慢性阻塞性肺疾病和癌症的系统性Metareview
4. Automated Extraction of Time References From Clinical Notes in a Heart Failure Telehealth Network [C] . Fabian Wiesmüller, Alphons Eggerth, Karl Kreiner, Computing in Cardiology . 2020

机译：自动提取从心力衰竭远程网络中的临床笔记中的时间参考
5. Effect of Home Telehealth on Veterans With Chronic Heart Failure. [D] . Major, Yolanda. 2016

机译：家庭远程医疗对患有慢性心力衰竭的退伍军人的影响。
6. A Randomized Controlled Trial Comparing Telehealth Self-Management to Standard Outpatient Management in Underserved Black and Hispanic Patients Living with Heart Failure [O] . Renee Pekmezaris, Christian N. Nouryan, Rebecca Schwartz, -1

机译：比较服务不足的黑人和西班牙裔心衰患者的远程医疗自我管理与标准门诊管理的随机对照试验
7. MODERATED EPOSTERS1385Longitudinal strain assessment in dilated cardiomyopathy patients using a novel accelerated DENSE sequence1407Simultaneous T1 and T2 cardiac quantification with CABIRIA: initial clinical experience1423Head-to-head comparison of acceleration algorithms in 4-dimensional flow CMR1502Left ventricular function and size evaluated by hybrid cardiac positron emission tomography-magnetic resonance: Intraindividual comparison of left ventricular ejection fraction and ventricular volumes derived by two modalities1510Left Atrium assessed by Cardiovascular Magnetic Resonance at 1.5 and 3 Tesla – age and gender effects1514Comparison of Free Breathing Cardiac MRI Radial technique to the Standard Multi breath-hold cine SSFP CMR technique for the assessment of LV Volumes and Function1536Self-navigated free-breathing isotropic 3D whole heart phase sensitive inversion recovery magnetic resonance without navigator for detection of myocardial infarction1547Assessment of Right Ventricular Strain Using Myocardial Deformation Recovery Semi Automated Technique: Initial Experience and Normal Values1586Tissue tracking myocardial deformation analysis and prediction of left ventricular remodeling in acute myocardial infarction1589Investigating strategies for optimal 31P MRS clinical cardiac at 3T: Initial Results1620Quantitative Criteria for the Diagnosis of the Congenital Absence of Pericardium by Cardiac Magnetic Resonance1632Widespread tissue injury during acute myocardial infarction: evidence from advanced CMR relaxometry1322Computed tomography coronary angiography verSus sTRess cArdiac magneTic rEsonance for the manaGement of sYmptomatic revascularized patients: a cost effectiveness study (STRATEGY study)1339Comparison of low- versus high-dose of gadobutrol for late gadolinium enhancement imaging at 1.5 Tesla: a clinical feasibility study1347Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study1461Prognostic value of Cardiovascular Magnetic Resonance derived indexes of myocardial fibrosis in heart transplant recipients1523The role of CMR in the acute phase of hospitalization: changing paradigms1542Preoperative CMR-based score predict ventricular response after surgical left ventricular reconstruction in ischemic heart failure patients1555Excellent response rate to cardiac resynchronization therapy guided with magnetic resonance imaging1626The ECG as a predictor of arrhythmogenic substrate on Cardiac Magnetic Resonance Imaging in patients undergoing ablation for premature ventricular contractions1649Comparison of T1-mapping at 3.0T CMR and angiographic APPROACH score for area at risk assessment in ST-segment elevation myocardial infarction1340Pathological correlates of left bundle branch disease in patients with non-ischemic cardiomyopathy: a cardiovascular magnetic resonance study1342Myocardial remodelling and fibrosis in nonischaemic dilated cardiomyopathy: insights from cardiovascular magnetic resonance1411The association between fibrosis and contractile dysfunction in hypertrophic cardiomyopathy assessed by cardiovascular magnetic resonance1622Persistent myocardial inflammation due to intramyocardial haemorrhage in reperfused STEMI as a precursor to adverse LV remodelling - insights from multi-parametric mapping1566Semiquantitative analysis of low and high b value DWI for detecting myocardial edema in acute myocarditis1567Value of Cardiac MRI In Detecting Coronary Artery Disease In Newly Diagnosed Systolic Dysfunction1570Usefulness of cardiac magnetic resonance in tuberous sclerosis complex1578Papillary muscles offer further insight into hypertrophied hearts: a cardiovascular magnetic resonance study1627Diagnostic and clinical implications of CMR timing (early versus late) in patients with troponin positive acute coronary syndromes and unobstructed coronary arteries: Table 1. [O] . Upasana Tayal, Alexandros Kallifatidis, P. Garg, 2016

机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

Implementation of a Clinical Algorithm as a Standard Protocol for the Self-Management of Heart Failure in Veterans Participating in the Telehealth Program.

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