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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Chronic condition self-management support within a respiratory nursing service
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Chronic condition self-management support within a respiratory nursing service

机译：呼吸护理服务中的慢性病自我管理支持

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Chronic condition self-management support within a respiratory nursing service Aim. The aim of this study was to report the steps taken by health professionals in practice to embed an innovative chronic condition self-management support programme. Within a small Australian Respiratory Nursing Service in Australia between 2008-2010. Background. Chronic obstructive pulmonary disease (COPD) encompasses chronic obstructive lung conditions such as emphysema and chronic bronchitis. These debilitating chronic conditions require a coordinated service response by health professionals across the spectrum of inpatient and community care services to support patients' to effective management their heath and prevent exacerbations. Conclusions. By recognising the importance of the different phases of change involving diagnostic, planning, implementation, ongoing monitoring and review, but also the supporting tools for data collection, the readiness of staff for change, the mapping of barriers and enablers and planning for short- and long-term impacts, this Respiratory Service was able to embed effectively into practice a more coordinated service for patients with COPD across the inpatient/community continuum. Relevance to clinical practice. This change process was undertaken by respiratory nurses in the field using the Chronic Care Model and associated tools to guide implementation and sustainability of the change. Guided by identification of enablers and gaps of most relevance to these health professionals and those they serve, effective service improvement was achieved. The description of how these health professionals achieved change holds lessons potentially for others attempting to improve support for chronic condition self-management across other areas of health.
机译：呼吸护理服务中的慢性病自我管理支持目的。这项研究的目的是报告卫生专业人员在实践中采取的步骤，以嵌入创新的慢性病自我管理支持计划。在2008年至2010年之间的澳大利亚小型澳大利亚呼吸护理服务中。背景。慢性阻塞性肺疾病（COPD）涵盖了慢性阻塞性肺疾病，例如肺气肿和慢性支气管炎。这些使人虚弱的慢性病需要卫生专业人员在住院和社区护理服务的各个方面做出协调一致的服务响应，以支持患者有效管理健康并防止病情加重。结论。通过认识到变革的不同阶段的重要性，包括诊断，计划，实施，持续的监控和审查，以及数据收集的支持工具，员工的变革准备，障碍和促成因素的映射以及短期和短期计划的重要性从长期的影响来看，该呼吸服务能够有效地在住院/社区连续体中为COPD患者实施更协调的服务。与临床实践有关。这种变更过程是由现场的呼吸护士使用慢性护理模型和相关工具进行的，以指导变更的实施和可持续性。在确定促成因素和与这些卫生专业人员及其所服务的人员最相关的空白的指导下，实现了有效的服务改善。这些卫生专业人员如何实现改变的描述可能为其他试图在其他卫生领域改善对慢性病自我管理支持的人提供了教训。

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