澳大利亚 optometrists 提供的糖尿病眼睛护理的临床指标:德尔菲研究
Rajendra Gyawali1, Melinda Toomey1, Fiona Stapleton1
1School of Optometry and Vision Science, UNSW Sydney, Sydney, New South Wales, Australia.
Clinical & experimental optometry
|October 17, 2023
概括
澳大利亚糖尿病眼睛护理的最新临床指标是使用专家共识开发的. 这32个指标旨在改善糖尿病患者的眼科护理的评估和提供.
科学领域:
- 眼科医生 眼科 眼科
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 澳大利亚以前的糖尿病眼睛护理指标是基于2013年之前的指南.
- 在iCareTrack研究中,先前使用这些指标对护理适当性进行了审计.
- 当代证据需要更新这些指标,以照顾2型糖尿病患者.
研究的目的:
- 更新2型糖尿病澳大利亚人眼科护理的临床指标.
- 反映糖尿病患者眼睛护理的新兴证据和当前做法.
- 提高眼科护理服务的评估和提供.
主要方法:
- 一个经过修改的Delphi过程,涉及45个候选指标的专家小组审查.
- 指标的评级是影响,可接受性和可行性 (9分级).
- 包含的共识所需的中位数分数≥7和>75%.专家同意.
主要成果:
- 开发了32个更新的临床指标,评分高 (中位数:9分).
- 这些指标涵盖了病史 (12),检查 (8),召回 (5),转诊 (5),以及患者教育 (2).
- 大多数以前的指标被保留;新的指标涉及特定的临床方面和患者人口统计学.
结论:
- 建立了一套包括32个更新的糖尿病眼睛护理指标的综合集.
- 这些指标是基于当前的证据和专家共识.
- 更新的指标将指导改善澳大利亚糖尿病患者眼睛护理的计划.
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