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首页> 美国卫生研究院文献>Journal of Patient Experience >Decreased Wait Time and Increased Satisfaction With Bedside Pancreatic Enzyme Dosing for the Inpatient Adolescent With Cystic Fibrosis: A Quality Improvement Project Comparing Enzyme Self-Administration to Nurse Administration
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Decreased Wait Time and Increased Satisfaction With Bedside Pancreatic Enzyme Dosing for the Inpatient Adolescent With Cystic Fibrosis: A Quality Improvement Project Comparing Enzyme Self-Administration to Nurse Administration

机译：随着患有囊性纤维化的床侧胰酶加药量减少等待时间和增加的满意度：一种质量改进项目比较酶自我管理护理施用

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For children with cystic fibrosis (CF), enzymes are essential with meals to absorb nutrients and ensure adequate growth. When hospitalized, CF patients typically rely on nurse-administered medications. Recently, a pediatric hospital unit began allowing adolescents with CF enzymes at the bedside. Postimplementation, a satisfaction questionnaire was administered to participating patients and nurses measuring patient and nurse satisfaction with access to bedside enzymes versus nurse administration and overall time for enzyme delivery. The survey utilized a 5-point Likert scale. The wait time for pancreatic enzymes decreased for self-administered enzymes when compared to those that were nurse administered. All (11/11) patients and 86% (12/14) of nurses preferred the self-administration of enzymes. Hospitalized pediatric CF patients and nurses had higher levels of satisfaction with enzyme self-administration. Immediate access to enzymes in room safes impact patient autonomy, reflecting home self-care practices. Decreases in wait times optimize nutritional growth and healing while hospitalized. As a result, a new limited scope policy allowing patient-administered enzymes is now in place in the pediatric inpatient CF unit.
机译：对于患有囊性纤维化的儿童（CF），酶与膳食是必不可少的，以吸收营养，并确保足够的生长。住院时，CF患者通常依赖于护士给药的药物。最近，一个儿科医院单元开始在床边允许青少年进行CF酶。完成后，向参加患者和护士进行满意调查问卷，测量患者和护士满意，可以获得床头酶与护士给药和酶递送的总时间。该调查利用了一个5点李克特量表。与护士施用的人相比，自我给药酶的等待时间减少。所有（11/11）患者和86％（12/14）护士首选自我施用酶。住院儿科CF患者和护士对酶自我给药的满意度较高。立即获得房间中的酶保险，影响患者自治，反映家庭自我保健实践。等待时间的减少优化营养生长和住院时的愈合。结果，允许患者施用的酶的新的有限范围政策现在在儿科住院性CF单元中到位。

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