Background Guidelines for monitoring patients with biological therapy require frequent consultations (every 2-4 months) in order to ensure the patient safety. These recommendations involve high use of consultations and interference with the daily and professional life of patients and their family. In this context, nursing telephone consultations can be an efficient alternative for monitoring subcutaneous therapies.
Objectives To analyze the usefulness of telephone nursing consultations in monitoring patients with subcutaneous therapy.
Methods We have collected data from all telephone nursing consultations in order to monitor patients with subcutaneous biological therapy from September 2012 to December 2014: clinical data, number of calls, characteristics of the consultation and its resolution, and involvement of rheumatologists in queries.
Results There were a total of 555 telephone consultations, of which the nurse resolved directly 84.9% of cases. The nurse resolved directly with physician support in 9.7% of cases, a telephone appointment with the rheumatologist was necessary in 1.3% of calls and an in-person appointment with the rheumatologist was necessary in 1.9% of calls. The 2.2% of patients were not located by telephone. Incidents were detected in the 34% of telephone nursing consultation, being the most frequent alterations in analytical parameters or infections. The 30.7% of incidents were referred to other medical specialty, mainly Primary Care. In 69.3% the nurse resolved directly the incidents.
Conclusions The telephone nursing consultation helps the monitoring of patients with subcutaneous therapy, managing directly the telephone nursing consultation and identifying the incidents. In this way, the nurse avoids unnecessary travels, reduces the number of medical consultations and improves management of hospital resources.
Disclosure of Interest None declared