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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Outcomes of an osteoporosis disease-management program managed by nurse practitioners.
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Outcomes of an osteoporosis disease-management program managed by nurse practitioners.

机译：由护士执业医师管理的骨质疏松症疾病管理计划的结果。

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PURPOSE: To detail the outcomes of an osteoporosis disease-management program where nurse practitioners (NPs) have taken a leadership role in screening, diagnosing, and treating patients at risk for osteoporosis. DATA SOURCES: An electronic medical record (EMR) was used to collect demographic, pharmacy, dual x-ray absorptiometry (DXA) scan, and fracture data from a population of over 625,000 patients with one or more risk factors for osteoporosis. Monthly reports were generated and distributed to the NPs to assist them in identifying patients that required screening or treatment. CONCLUSIONS: Over a 6-year period there was a 263% increase in the number of screening DXA scans done each year, a 153% increase in the number of patients on anti-osteoporosis medications each year, and a 38.1% decrease in the expected hip fracture rate. IMPLICATIONS FOR PRACTICE: NPs play an important leadership role in managing osteoporosis within a large health maintenance organization. The screening and interventions used can be applied by any NP in any practice setting on an individual basis to reduce hip fracture rates in the United States.
机译：目的：详细介绍骨质疏松症疾病管理计划的结果，在该计划中，护士执业医师（NPs）在筛查，诊断和治疗有骨质疏松症风险的患者中发挥了领导作用。数据来源：电子病历（EMR）用于收集人口统计，药房，双X线骨密度仪（DXA）扫描以及来自625,000名患有一种或多种骨质疏松症危险因素的患者的骨折数据。生成每月报告并将其分发给NP，以帮助他们确定需要筛查或治疗的患者。结论：在6年的时间里，每年进行的DXA筛查筛查次数增加了263％，使用抗骨质疏松药物的患者人数每年增加153％，预期的下降38.1％髋部骨折发生率。实践的意义：NP在大型健康维护组织中管理骨质疏松症中发挥重要的领导作用。在美国任何实践中，任何NP均可在任何实践场合应用筛查和干预措施，以降低髋部骨折发生率。

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