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퇴원환자를 위한 간호사 주도 전환 프로그램의 내용과 효과에 관한 체계적 문헌고찰

Other Titles
 A Systematic Review on Nurse-Led Transitional Care Programs for Discharged Patients from Hospital to Home 
Authors
 이현주  ;  김유경  ;  오의금 
Citation
 Journal of Korean Clinical Nursing Research (임상간호연구), Vol.23(3) : 376-387, 2017 
Journal Title
 Journal of Korean Clinical Nursing Research (임상간호연구) 
ISSN
 1598-9186 
Issue Date
2017
Keywords
Patient Discharge ; Transitional Care ; Continuity of Patient Care
Abstract
Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161656
DOI
10.22650/JKCNR.2017.23.3.376
Appears in Collections:
1. Journal Papers (연구논문) > 3. College of Nursing (간호대학) > Dept. of Nursing (간호학과)
Yonsei Authors
오의금(Oh, Eui Geum)
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