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专业咳诊所的共识目标和标准:NEUROCOUGH国际德尔菲研究
Woo-Jung Song1, Lieven Dupont2, Surinder S Birring3
1Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
专家们就专业咳诊所的最佳目标和程序达成共识,旨在改善慢性咳管理. 这些指导方针将有助于建立和发展的诊所提供卓越的患者护理.
科学领域:
- 肺部病理学 肺部病理学
- 临床实践指南 临床实践指南
背景情况:
- 目前的慢性咳管理指南缺乏专门的咳诊所操作的建议.
- 需要在慢性咳患者的管理中制定标准化方案.
研究的目的:
- 发展专家对专门的咳诊所目标和标准操作程序的共识.
- 建立最佳实践,用于慢性咳的多学科管理.
主要方法:
- 在由57名专家组成的国际小组中,采用了经过修改的Delphi过程.
- 使用11点的利克特级别进行了两轮排名,以达成对建议陈述的共识.
主要成果:
- 在16项声明中,关于专门咳诊所的目标,角色和程序的15项声明达成了共识.
- 专家们就最佳的护理模式达成一致,包括检查病史的触发因素,常规使用严重程度尺度,以及必要的诊断测试 (胸部放射,精神测量,2型炎症标志物).
- 这些诊所在研究和培训中的作用得到了认可,同时也承认了医疗保健的区域差异.
结论:
- 德尔菲实践为现有和计划中的专业咳诊所提供了一个框架和指导.
- 标准化程序可以提高慢性咳患者的护理质量.
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