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Caretech Sundheds IT net

Caretech Sundheds IT net. Fast-track Effekt af telenursing efter radikal prostatektomi Bente Thoft Jensen Forskningssygeplejerske-MPH Urinvejskirurgisk Afdeling K Århus Universitetshospital -Skejby. Juni 2010. Fast track i urologisk sygepleje. Peri-operative enhed

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Caretech Sundheds IT net

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  1. Caretech SundhedsITnet Fast-track Effekt af telenursing efter radikal prostatektomi Bente Thoft Jensen Forskningssygeplejerske-MPH Urinvejskirurgisk Afdeling K Århus Universitetshospital -Skejby Juni 2010

  2. Fast track i urologisk sygepleje • Peri-operative enhed ( Pleje og behandling af patienter efter radikal prostatektomi-2007) • Udvikling i indlæggelsestid 2003 2006 2010 • Åbne 5 3.8 3.2 • Robot 2.8 2.1 ( PAS Juni 2010) Juni 2010

  3. Baggrund telenursing studie 2008-2009 Sikre rehabilitering Ændringer i trends Patientinformation tilstrækkelig? Patient-uddannelse tilstrækkelig? Løsning Tele-nursing? Efficacy of tele-nursing after radical prostatectomy

  4. Effekt af Tele-Nursing Konsultation efter radikal prostatektomi Jensen B.T Kristensen S Vistoft S Urology Department K Aarhus University Hospital, Skejby Denmark Efficacy of tele-nursing after radical prostatectomy

  5. Formål Effekt af tele-nursing • Patient tilfredshed • Sikre rehabilitering • Håndtering ADL • Reduktion i postoperativegener • Ændringer i behov for assistance Efficacy of tele-nursing after radical prostatectomy

  6. Materiale og Metode 1 Figur 1. Flowchart End: 95 patients Start: 142 Consecutive patients Included 39 8 Excluded Efficacy of tele-nursing after radical prostatectomy

  7. Materiale and Metode 2 Figur 2. Randomisering 15 + Tele 32 Åben Kirurgi Randomisation 17 - Tele 95 inklud. patients 31 + Tele 63 Robot Kirurgi Randomisation 32 - Tele Efficacy of tele-nursing after radical prostatectomy

  8. Materiale og Metode 3 • Samme uddannelse • Mundtlig og skriflig information • Randomisering externt kontrolleret • Tele-nursing 3 dage efter udskrivelse Interview efter manual samt ad hoc sp. Sp-skema to uger post-op ved ambulant besøg Efficacy of tele-nursing after radical prostatectomy

  9. Outcome • Patient tilfredshed • Sikre rehabilitering Reduktion af postoperative gener Håndtering af ADL Efficacy of tele-nursing after radical prostatectomy

  10. Karakteristik Table 1. Fordeling blandt intervention og kontrol gruppen hvad angår modalitet, Indl. tid og civil status Efficacy of tele-nursing after radical prostatectomy

  11. Tid med kateter Tabel 2. Fordeling blandt intervention og kontrol gruppen 25 No tele consult 20 Median: 13n=49 15 10 Plus tele consult Median: 13 n=46 5 0 8 9 10 11 12 13 14 15 16 20 Time with catheter Efficacy of tele-nursing after radical prostatectomy

  12. Alder Tabel 3. Aldersfordeling blandt intervention og kontrolgruppen 6 No tele consult 5 Mean: 62.54n=49 4 3 2 Plus tele consult Mean: 64.14 n=46 1 0 48 52 55 57 59 61 63 65 67 69 71 73 Age Efficacy of tele-nursing after radical prostatectomy

  13. Effekt Tabel 4. Assciation mellem Tele-nursing konsultation, Patient tilfredshed og oplevet tryghed. Logistisk regressionsanalyse. Efficacy of tele-nursing after radical prostatectomy

  14. Effekt Tabel 5. Association mellem tele-nursing konsultation og kateter-relateret gener. Logistisk regressions analyse. Efficacy of tele-nursing after radical prostatectomy

  15. Rehabilitering Tabel 6. Nytte i interventions-gruppen, logistisk regressions analyse. Efficacy of tele-nursing after radical prostatectomy

  16. Assistance Tabel 6. Association mellem behovet for assistance og Co-Variable. Logistic Regressions-analyse. Efficacy of tele-nursing after radical prostatectomy

  17. Konklusion • Tryghed • Patienttilfredshed • Sikre rehabilitation • Reduktion af gener • Assistance Efficacy of tele-nursing after radical prostatectomy

  18. Perspektiv • Største problem for recover er tradition • (læge, sygeplejersker, fysioterapeuter) • Byrden, hvis der er nogen, forskubbes til • primær sektor? Efficacy of tele-nursing after radical prostatectomy

  19. Tak for opmærksomheden Denmark Efficacy of tele-nursing after radical prostatectomy

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