CLEFT-Q如何改变我们的练习方式? 一项前性研究,整合了患者报告的结果
Lauren K Salinero1, Liana Cheung1, Dillan F Villavisanis1
1From the Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia.
Plastic and reconstructive surgery
|September 7, 2023
概括
裂口-Q仪器为患者提供了关于裂口护理的宝贵见解,在16%的病例中改变了管理计划. 整合患者报告的结果可以改善唇裂患者的临床决策.
科学领域:
- 裂口唇和 palatus 研究的研究.
- 患者报告的结果.
- 临床决策的过程
背景情况:
- 裂口-Q是一种经过验证的工具,用于评估患者在裂口唇和/或 palatal 护理中报告的结果.
- 之前没有记录过Cleft-Q数据对常规裂护理的影响.
- 这项研究研究了整合Cleft-Q数据如何影响患者护理和临床决策.
研究的目的:
- 分析Cleft-Q数据集成对患者护理和临床决策在裂唇和 palatal 管理的影响.
- 确定患者报告结果 (PRO) 与临床评估不一致的特定领域.
- 为了确定Cleft-Q数据集成后护理计划修改的频率.
主要方法:
- 在裂口团队访问期间对70名患者的前性评估.
- 裂-Q数据是在访问前收集的,最初是掩盖的.
- 观察员记录了患者的态度,临时计划和Cleft-Q数据讨论后的变化.
主要成果:
- 在36%的访问中观察到患者报告的态度和Cleft-Q分数之间的不一致.
- 在心理社会功能,言语功能/压力和唇部/唇部痕外观方面,不一致率最高.
- 在16%的观察患者访问中,Cleft-Q的整合导致了护理计划的改变.
结论:
- "Cleft-Q"提供了超越常规临床评估的关键患者观点.
- 定期整合Cleft-Q数据导致患者管理计划的修改.
- 通过有效地捕捉患者报告的结果,Cleft-Q数据增强了临床决策.
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