糖尿病门诊护理中患者报告的结果措施:范围审查
Astrid Torbjørnsen1, Annesofie Lunde Jensen2,3, Tone Singstad4
1Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway astridto@oslomet.no.
BMJ open diabetes research & care
|November 14, 2023
概括
糖尿病护理中的患者报告结果 (PRO) 措施受到患者的欢迎,但研究不足. 由于患者和服务需求的多样化,存在实施挑战,需要对医疗保健人员工作流程进行进一步研究.
科学领域:
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 患者报告结果 (PRO) 措施越来越多地被用于临床糖尿病护理,以提高患者参与度和医疗保健质量.
- 该研究旨在确定门诊糖尿病诊所使用的PRO仪器,并与患者和医疗人员的经验一起检查其应用.
研究的目的:
- 确定在门诊糖尿病诊所使用的PRO措施.
- 调查患者和医疗保健人员在临床环境中使用PRO措施的经验.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查.
- 在CINAHL,EMBASE,Medline和健康和心理社会工具数据库中进行了搜索.
- 包括的研究重点是临床环境中的糖尿病成年人,在这些临床环境中,PRO测量响应直接影响了患者的护理.
主要成果:
- 在35,197个引用中,包含了7份报告,详细介绍了4个不同的PRO措施.
- 所有识别的PRO措施都评估了糖尿病的心理社会方面,其中包含了糖尿病问题区域尺度的三个元素.
- 患者对PRO措施的使用表示高度满意,而医疗保健人员的满意度则有所不同.
结论:
- 在糖尿病门诊护理中对PRO措施的研究是有限的.
- 患者欣赏PRO措施表达关切;一些医疗保健人员重视所获得的见解.
- 服务和患者的异质性带来了实施挑战,需要研究PRO措施对医疗人员工作流程的影响.
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