对于患有慢性病的患者来说,患者报告的结果措施:患者报告结果测量信息系统 (PROMIS) 工具的案例
Evan Tang1, Alyssa Yantsis1, Matthew Ho2
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Ajmera Transplant Centre, University Health Network, Toronto, Ontario, Canada.
概括
患者报告的结果措施 (PROM) 可以通过监测症状和生活质量来改善慢性病 (CKD) 护理. 患者报告结果测量信息系统 (PROMIS) 为更好的患者管理提供了可适应的工具.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床信息学 临床信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性病 (CKD) 和其治疗方法显著影响患者的生活质量和症状负担.
- 慢性瘤的症状往往没有被报告,这阻碍了有效的管理和患者护理.
- 患者报告的结果指标 (PROM) 对于评估患者的体验和结果至关重要.
研究的目的:
- 探索PROMs在改善CKD患者管理方面的潜力.
- 突出患者报告结果测量信息系统 (PROMIS) 工具对CKD护理的适用性.
- 讨论在临床实践中成功实施PROM的障碍和基本组成部分.
主要方法:
- 对PROM及其在CKD中的应用进行文献审查.
- 专注于PROMIS工具的功能和好处,包括它们的适应性 (例如,计算机适应性测试).
- 讨论实施因素,如临床反应途径和用户参与.
主要成果:
- 系统的PROM使用可以增强患者-提供者沟通,满意度和临床结果.
- PROMIS工具提供精确的,定制的症状和功能测量,降低了患者的负担.
- 解决参与和工作流集成等障碍是有效实施PROM的关键.
结论:
- PROMs,特别是PROMIS工具,显示出显著的潜力,以改善患有CKD的患者的护理.
- 有效实施需要明确的临床途径和策略来克服与用户相关的障碍.
- 整合PROM可以导致更好的症状管理和改善CKD患者的健康相关生活质量.
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