目标设定策略与综合反对炎症性关节炎患者目标实现的影响:混合方法研究研究
K van Slingerland1, P H P de Jong2, R J E M Dolhain2
1Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. k.vanslingerland@erasmusmc.nl.
Rheumatology international
|July 22, 2023
概括
目标管理策略改善了炎症性关节炎 (IA) 患者的目标实现. 虽然整体健康相关生活质量 (HRQoL) 没有变化,但未达到目标的患者报告HRQoL较低.
科学领域:
- 类风湿病学 类风湿病学
- 以患者为中心的护理
- 健康 结果 研究 研究 结果
背景情况:
- 炎症性关节炎 (IA) 显著影响患者的日常生活.
- 门诊咨询往往忽视了IA对日常生活的影响,专注于医疗方面.
- 患者报告的结果 (PROs) 对于真正以人为中心的护理是不够的,需要对话的目标探索.
研究的目的:
- 评估目标管理策略,对IA患者的目标实现和与健康相关的生活质量 (HRQoL) 进行反.
- 在IA管理的目标设定方法中评估综合反的有效性.
- 探索炎症性关节炎患者的目标实现和HRQoL之间的关系.
主要方法:
- 92名患有活跃疾病的IA患者设定并跟踪个人目标.
- 参与者填写了PRO的在线问卷,包括HRQoL.
- 实施了一个目标管理策略,集成反.
主要成果:
- 总共设定了302个患者目标,其中32%实现了.
- 在研究人群中,没有观察到整体HRQoL的显著变化.
- 没有达到目标的患者报告说,他们倾向于降低HRQoL.
结论:
- 有反的目标管理策略对IA患者的目标实现产生了积极的影响.
- 一般HRQoL测量可能不够敏感,无法检测与目标设定和实现相关的变化.
- 将患者确定的目标整合到护理中,对于解决IA患者的整体需求至关重要.
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