开发一个核心成果集,用于研究和评估不可手术的恶性肠道阻塞
Alison Bravington1, George Obita2, Elin Baddeley3
1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, United Kingdom.
针对不可手术的恶性肠道阻塞,开发了一套新的核心结果集,以改善患者的护理. 该套件确保一致的结果测量,以便在晚期癌症中更好地综合证据和临床决策.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 临床试验方法论 临床试验方法论
背景情况:
- 恶性肠道阻塞影响15%的晚期癌症患者,造成严重的痛苦和影响生活质量.
- 目前的管理策略包括排水和症状控制,但证据综合受到各种结果措施的阻碍.
- 现有的息干预措施往往缺乏与患者相关的结果措施,使治疗评估复杂化.
研究的目的:
- 开发一个标准化的核心成果集,用于评估不可手术的恶性肠道阻塞.
- 确保临床医生,患者和护理人员的观点被整合到结果评估中.
- 使用COMET (有效性试验中的核心结果测量) 方法论,以实现强大的开发.
主要方法:
- 进行系统和快速的文献审查,以确定潜在的结果.
- 与患者和临床医生进行了深入采访.
- 利用多轮的Delphi流程与国际专家小组以及涉及患者和护理人员的共识会议.
主要成果:
- 确定了130个独特的结果,其中82个经过专家审查后优先考虑.
- 一个涉及多个利益相关者团体的德尔菲过程确定了四个领域的16个核心结果:症状控制,生命影响,治疗结果和沟通/患者偏好.
- 通过在线Delphi轮和虚拟共识会议,就这些16个核心成果达成共识.
结论:
- 开发的核心成果集解决了目前对恶性肠道阻塞的研究中的不一致性.
- 该套的实施将促进更好的证据综合,并为临床实践提供信息.
- 改善利益相关者之间的沟通和共同理解对于对恶性肠道阻塞的息护理的负责任决策至关重要.
更多相关视频
04:45Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
Published on: May 10, 2021
09:44Functional Assessment of Intestinal Motility and Gut Wall Inflammation in Rodents: Analyses in a Standardized Model of Intestinal Manipulation
Published on: September 11, 2012
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
