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首页> 外文期刊>Journal of orthopaedic nursing >Nurse practitioner's knee injection clinics in the UK: The patient's perception
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Nurse practitioner's knee injection clinics in the UK: The patient's perception

机译：英国护士从业人员的膝盖注射诊所：患者的感知

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Nurse practitioners play a vital role in the modernization program of the National Health Service in the United Kingdom. They are being encouraged to take up the role of a clinician. A new concept of collaborative work between two professionals is being established despite strong resentment among some doctors.Traditionally, clinicians inject Synvisc~(TM)intra-articularly to treat symptoms of knee osteoarthritis; however, it is perceived that nurse practitioners could provide the same service. Currently there is no study evaluating the qualitative aspect of this treatment, the patient's experience of the care as well as clinical outcome. We hypothesise that a clinician led injection clinic will lead to better patient satisfaction than a nurse led service.The study design was a non-randomised, prospective, clinical audit. One hundred patients of mean age 62.5 years with knee osteoarthritis requiring intra-articular injection therapy as part of their management, (50 in each of the nurse practitioners and clinician clinic) sequentially selected from October 2002 to May 2004 were included in the study. They were followed up for 3 months. All patients were treated by 3 Synvisc? injections, once weekly. They were asked to complete a short questionnaire at the time of the final injection, Oxford knee score and 100 mm visual analogue pain scale before and 3 months after the injection. They were prospec-tively followed up by the authors and monitored to assess the clinical outcome. The data were analysed by an independent clinician.There was improvement in terms of pain relief in both the groups. The scores on the visual analogue scale mean 73.2-32.8 in the nurse practitioner's clinic and 70.8-36.6 in the clinician's clinic. Oxford knee scores improved in the clinician group mean 51-33.7 points and the nurse practitioners group mean 48.9-32.8points at 3 months of follow up. Nurse led service is better in terms of fewer complications as participants in the clinician injection group had significant injection site pain (p < 0.001). 90% of nurse led injection clinic patients were very satisfied about the service (p < 0.001).We concluded that the nurse practitioner's injection clinic is an effective means of resource regeneration. This study shows collaborative work between allied professionals could provide better patient care.
机译：护理从业人员在英国国家卫生服务局的现代化计划中起着至关重要的作用。鼓励他们担任临床医生。尽管一些医生对此表示强烈不满，但仍在建立两个专业人员之间协作工作的新概念。传统上，临床医生通过关节内注射Synvisc〜（TM）来治疗膝盖骨关节炎的症状。但是，人们认为护士可以提供相同的服务。目前尚无研究评估这种治疗方法的质量，患者的护理经验以及临床结果。我们假设由临床医生领导的注射诊所比由护士领导的服务可以带来更好的患者满意度。研究设计是非随机，前瞻性的临床审核。从2002年10月至2004年5月依次选择了100例平均年龄为62.5岁的膝骨关节炎患者，需要对其进行关节内注射治疗（其中50名护士从业人员和临床医生每位患者）。他们进行了3个月的随访。所有患者均接受3 Synvisc治疗。每周一次。在最后一次注射时，要求他们填写简短的问卷，在注射前和注射后3个月，牛津膝关节评分和100 mm视觉模拟疼痛量表。作者对他们进行了前瞻性随访，并进行了监测以评估临床结果。数据由独立的临床医生进行分析。两组的疼痛缓解均有改善。视觉模拟量表的评分在护士从业者诊所中平均为73.2-32.8，在临床医生诊所中为70.8-36.6。在随访的3个月中，临床组的牛津膝盖得分提高了51-33.7分，而执业护士组的平均得分提高了48.9-32.8分。由于临床医生注射组的参与者有明显的注射部位疼痛（p <0.001），因此由护士主导的服务在减少并发症方面更好。 90％的护士领导的注射诊所患者对该服务非常满意（p <0.001）。我们得出结论，护士从业者的注射诊所是一种有效的资源再生手段。这项研究表明，相关专业人员之间的协作可以提供更好的患者护理。

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