目的探索针对暗娼(Female sex worker,FSW)人群开展干预工作的新模式。方法在广东江门、海南琼海培训临床医生参与FSW人群的外展工作,在现场提供健康教育、咨询、体检、检测等性病和生殖健康服务。以广西梧州高干队的常规外展服务模式...目的探索针对暗娼(Female sex worker,FSW)人群开展干预工作的新模式。方法在广东江门、海南琼海培训临床医生参与FSW人群的外展工作,在现场提供健康教育、咨询、体检、检测等性病和生殖健康服务。以广西梧州高干队的常规外展服务模式为对照。结果在外展工作中,通过临床医生提供的性病服务进一步提高了FSW人群性病预防知识的知晓率和可疑性病患者的转介成功率,降低了FSW人群的梅毒感染率。结论比起常规的外展模式来,由有临床背景的医务人员参与的、以性病服务为基础的FSW人群的干预模式更容易接近低档场所的目标人群,能够为目标人群所接纳,同时外展服务的质量也得到了进一步提高。展开更多
Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in...Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.展开更多
文摘目的探索针对暗娼(Female sex worker,FSW)人群开展干预工作的新模式。方法在广东江门、海南琼海培训临床医生参与FSW人群的外展工作,在现场提供健康教育、咨询、体检、检测等性病和生殖健康服务。以广西梧州高干队的常规外展服务模式为对照。结果在外展工作中,通过临床医生提供的性病服务进一步提高了FSW人群性病预防知识的知晓率和可疑性病患者的转介成功率,降低了FSW人群的梅毒感染率。结论比起常规的外展模式来,由有临床背景的医务人员参与的、以性病服务为基础的FSW人群的干预模式更容易接近低档场所的目标人群,能够为目标人群所接纳,同时外展服务的质量也得到了进一步提高。
文摘Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.
