在全球烧伤护理中,致力于整体痕评估和改善共享决策
Milly S van de Warenburg1, Elleke F L Munk1, Anna Davies2
1Department of Plastic and Reconstructive Surgery, Radboud University Medical Centre, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
概括
这项研究确定了评估皮肤烧伤痕的59个关键结果,平衡了临床相关性和患者优先事项. 未来的研究应该包括全球患者的观点,以进行全面的痕评估.
科学领域:
- 皮肤病学 皮肤病学
- 康复医学 康复医学 康复医学
- 患者报告的结果
背景情况:
- 皮肤烧伤痕显著影响患者的生活.
- 目前痕治疗评估主要集中在痕特征上.
- 缺乏对患者,临床医生和研究人员相关的综合性结果措施的共识.
研究的目的:
- 识别,讨论和分析与皮肤烧伤痕相关的结果.
- 将患者的声音和医疗保健专业人士的观点纳入结果识别中.
- 为评估烧伤痕建立一个整体的结果集.
主要方法:
- 采用了Delphi过程,包括两轮调查和一个共识会议.
- 一个由患者,医疗保健专业人员和研究人员组成的国际小组参加了会议.
- 从100个潜在的痕相关问题的综合清单中确定了结果.
主要成果:
- 确定了59个结果与痕相关 (≥60%的共识).
- 心理社会问题,正常感,治疗理解,成本和系统问题被认为影响较小.
- 建立了一系列结果,包括标准和不经常考虑的措施.
结论:
- 这个德尔菲过程建立了一套全面的结果来评估皮肤烧伤痕.
- 这些发现为整体痕评估提供了基础,整合了患者和临床医生的观点.
- 未来的研究必须包括来自发展中国家的患者意见,以确保全球适用的结果.
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