Strategies for implementing a regional cross continuum care pathway to improve outcomes for patients with hip fracture in Ontario, Canada

Johnson, Helen; Snobelen, Nancy

doi:10.1016/j.physio.2015.03.3531

Cited by 2 publications

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“…Previously, researchers found that the compliance of patients with hip fracture was an independent VTE risk factor. 8 The continuous nursing model represented a new nursing strategy by elongating the nursing intervention towards the post-discharge period, 9 , 10 facilitating medication guidance, efficient information collection and feedback, and improving patient compliance. 9 , 11 , 12 However, clinically, the continuous nursing model was relatively difficult to provide comprehensive and individualized nursing care in China due to the large population, organizational barriers, 13 widespread gaps in the quality, and inadequate nursing care systems.…”

Section: Introductionmentioning

confidence: 99%

“… 8 The continuous nursing model represented a new nursing strategy by elongating the nursing intervention towards the post-discharge period, 9 , 10 facilitating medication guidance, efficient information collection and feedback, and improving patient compliance. 9 , 11 , 12 However, clinically, the continuous nursing model was relatively difficult to provide comprehensive and individualized nursing care in China due to the large population, organizational barriers, 13 widespread gaps in the quality, and inadequate nursing care systems. 14 Fortunately, mobile applications (APPs), which have become increasingly relevant to healthcare, 18 , 19 could provide innovative opportunities for communication among medical practitioners, nurses and patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effects of information platform-based nursing on preventing venous thromboembolism in patients with hip fractures

Yuan¹,

Fu²,

Lei³

et al. 2022

Chinese Journal of Traumatology

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effects of information platform-based nursing on preventing venous thromboembolism in patients with hip fractures

Yuan¹,

Fu²,

Lei³

et al. 2022

Chinese Journal of Traumatology

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The effects of information platform-based nursing on preventing venous thromboembolism (VTE) in patients with hip fractures (Preprint)

Yuan¹,

Fu²,

Lei³

et al. 2020

Preprint

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BACKGROUND Mobile apps are becoming increasingly relevant to health care. Apps have been used to improve symptoms, quality of life, and adherence for oral drugs in patients with cancers, pregnancy, or chronic diseases, and the results were satisfying . OBJECTIVE This study aims to develop an information platform with the help of a mobile app and then evaluate whether information platform-based nursing can improve patient’s drug compliance and reduce the incidence of VTE in patients with hip fractures. METHODS We retrospectively analyzed hip fracture patients performed with traditional prevention and intervention of VTE (control group) between January 2008 and November 2012, and prospectively analyzed hip fracture patients conducted with nursing intervention based on the information platform (study group) between January 2016 and September 2017. The information platform can be divided into medical and nursing care end and the patient’s end. Based on the information platform, we could implement risk assessments, monitoring management and early warnings, preventions and treatments, health educations, follow-up and other aspects of nursing interventions for patients. We compared basic characteristics, outcomes including drug compliance, VTE occurrence, and mean length of hospitalization between the two groups. Besides, a subgroup analysis was performed in the study group according to different drug compliances. RESULTS Regarding baseline data, patients in the study group had more morbidities than those in the control group (P<0.05). The difference of drug compliance between the two groups was statistically significant (P<0.001): 64.7% of the patients in the control group had poor drug compliance and only 6.1% patients had poor drug compliance in the study group. In terms of VTE, 126 patients (10.7%) in the control group had VTE, while only 35 patients (7.1%) in the study group had VTE, and the difference was statistically significant (P=0.024). Moreover, the average length of hospitalization in the study group was also significantly lower than that in the control group (10.4 d vs. 13.7 d, P=0.000). Subgroup analysis of the study group showed that the incidence of VTE in patients with non-compliance, partial compliance, and good compliance was 56.7%, 5.8% and 2.8%, respectively (P=0.000). CONCLUSIONS Poor drug compliance leads to higher VTE occurrence. The information platform-based nursing can effectively improve the compliance of patients with hip fracture and thus significantly reduce the incidence of VTE.

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Strategies for implementing a regional cross continuum care pathway to improve outcomes for patients with hip fracture in Ontario, Canada

Cited by 2 publications

References 0 publications

The effects of information platform-based nursing on preventing venous thromboembolism in patients with hip fractures

The effects of information platform-based nursing on preventing venous thromboembolism in patients with hip fractures

The effects of information platform-based nursing on preventing venous thromboembolism (VTE) in patients with hip fractures (Preprint)

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