在退伍军人卫生管理局内基于证据的干预调整:范围审查
Aimee Kroll-Desrosiers1,2, Erin P Finley3,4, Alison B Hamilton4,5
1VA Central Western Massachusetts Healthcare System, Leeds, MA, USA. aimee.kroll-desrosiers@VA.gov.
Journal of general internal medicine
|May 30, 2023
概括
修改基于证据的干预措施 (EBI) 对于在退伍军人卫生管理局 (VA) 中为退伍军人量身定制护理至关重要. 这次审查发现,适应,通常由定性反告知,是可行的和可接受的这个独特的人群.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 退伍军人健康 退伍军人的健康
背景情况:
- 与平民相比,接受退伍军人健康管理局 (VA) 护理的退伍军人有独特的医疗需求和文化特征.
- 对基于证据的干预措施 (EBI) 的修改对于使护理适应VA环境和退伍军人特定的文化规范至关重要.
研究的目的:
- 了解如何EBI已被修改为退伍军人在VA内接受护理的退伍军人.
- 评估这些EBI适应在老兵群体中的可行性和可接受性.
主要方法:
- 在2021年6月之前,对VA内的EBI适应进行了范围审查.
- 包括的研究包括在VA护理中的退伍军人人群,明确定义的EBI,并全面描述了适应.
- 使用基于证据的干预措施的调整和修改报告框架 (FRAME) 总结了数据.
主要成果:
- 十一篇文章符合纳入标准,详细介绍了EBI适应心理健康,护理获取/提供,糖尿病预防,物质使用,体重管理,癌症幸存率和复发率的减少.
- 所有的改编都包含了参与者的定性反 (采访,焦点小组).
- 大多数修改 (55%) 发生在预实施,规划或试点阶段,作为主动变更.
结论:
- 多种方法和框架指导VA护理中的退伍军人进行EBI适应.
- 有很大的机会进一步扩大EBI适应的使用,以更好地满足退伍军人群体的特定需求.
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