构建和验证一个捆绑用于评估甲状腺功能在患有皮病的患者
Amanda Ximenes Couto Bem Montenegro1, Maria Cecilia Martins-Costa2, Ivelise Regina Canito Brasil1
1Universidade Estadual do Ceará, Fortaleza, CE, Brasil.
Arquivos de gastroenterologia
|August 9, 2023
概括
一个新的基于证据的捆绑工具帮助医生在肝硬化患者的甲状腺功能障碍的管理. 这种经过验证的工具简化了临床决策,以获得更好的患者结果.
科学领域:
- 内分泌学 在内分泌学.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 甲状腺功能障碍经常在晚期肝病患者中观察到,但其管理在临床实践中经常被忽视.
- 制定系统的,基于证据的指导方针对于解决这个差距至关重要.
研究的目的:
- 构建和验证临床决策包,用于评估和管理被诊断为肝硬化患者的甲状腺功能.
主要方法:
- 进行了一项综合性文献审查,以收集有关肝硬化时甲状腺功能的证据.
- 根据审查结果开发了一套临床包,重点关注查,治疗和并发症管理.
- 用专家评估的内容有效性指数 (CVI) 进行了内容验证.
主要成果:
- 开发的包提供了结构化的指导,用于管理各种肝脏疾病的甲状腺疾病,包括肝硬化,非酒精性脂肪肝疾病和肝细胞癌.
- 专家评估证实了该包的有效性,总体CVI为0.95,表明对其实用性的强烈同意.
- 该包包括对甲状腺功能障碍和相关并发症的诊断测试和治疗策略的建议.
结论:
- 经过验证的捆绑有效地支持医疗决策,使肝硬化患者的甲状腺功能能够实用和有效地管理.
- 该工具是医疗实践中一个有价值的,低成本的补充,补充了个体医生评估.
- 实施这种结构化捆绑可以显著改善肝硬化和甲状腺问题患者的护理.
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