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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Self-management of chronic disease and hospital readmission: a care transition strategy
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Self-management of chronic disease and hospital readmission: a care transition strategy

机译：慢性病的自我管理和住院再入院：护理过渡策略

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Self-management of chronic disease and hospital readmission: a care transition strategy Aims and objectives. To identify current trends in readmissions and practices for preventing readmissions in client populations with chronic disease. The objectives are to review evidence and ascertain if best practice guidelines to prevent readmissions exist. An emphasis was placed on the identification of low resource and easy to implement models for the prevention of readmissions. Background. Chronic disease is increasing in prevalence, and quality improvement is needed as clients transition between a variety of healthcare settings, particularly from hospital to home. People with chronic disease are more likely to need inpatient care, yet studies indicate that readmissions within 30 days of discharge occur. Hospitalisations are considered preventable if linked to unresolved conditions present at the time of discharge and not remunerated by Medicare. In such cases, hospitals bear 100% of the cost of avoidable readmissions. Method. A literature review of databases in English, Internet searches of CINAL, Cochrane database of systematic reviews as well as Agency for Healthcare Quality Research guidelines were conducted. The search terms used were; care coordination, self-care, self-care management of chronic disease, readmission, preventing readmission, and care transition(s). Results. The association of chronic disease care with the emergence of readmission rates as indicators of quality of care is explored utilising Coleman's Care Transition Model. This model is suggested as a practical, evidenced-based intervention, which hospitals can implement to reduce avoidable readmissions. Conclusions. The review of evidence revealed a lack of high-level research identifying which interventions designed to avoid readmissions were most effective. The available literature provided several recurrent themes concerning effective strategies to prevent readmission. The themes identified were;...
机译：慢性病的自我管理和住院再入院：护理过渡策略目的和目标。查明再入院的当前趋势和预防慢性病患者人群再入院的做法。目的是审查证据并确定是否存在防止再入院的最佳实践准则。重点放在确定资源少和易于实施的防止再入学的模型上。背景。慢性病的患病率正在增加，并且随着客户在各种医疗保健环境（尤其是从医院到家庭）之间的过渡，需要提高质量。患有慢性疾病的人更需要住院治疗，但研究表明出院后30天内再入院。如果住院与出院时未解决的状况相关联且未由Medicare支付报酬，则可以认为住院是可以预防的。在这种情况下，医院承担可避免的再入院费用的100％。方法。进行了英语数据库的文献综述，CINAL的Internet搜索，系统评价的Cochrane数据库以及医疗机构质量研究指南。使用的搜索词是;护理协调，自我护理，慢性病的自我护理管理，再入院，预防再入院和护理过渡。结果。慢性疾病护理与再入院率作为护理质量指标的出现之间的联系，使用科尔曼的护理过渡模型进行了探索。建议将该模型作为一种实用的，基于证据的干预措施，医院可以采取这种措施来减少可避免的再次住院。结论。证据审查显示，缺乏高层研究来确定哪些旨在避免再次入院的干预措施最为有效。现有文献提供了一些有关预防再入院的有效策略的主题。确定的主题是; ...

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