根据患者特定需求评估量身定制和评估治疗:以患者为中心的方法
Willemijn A de Ridder1,2,3,4, Yara E van Kooij1,2,4, Harm P Slijper1,2,3
1From the Departments of Plastic, Reconstructive, and Hand Surgery.
Plastic and reconstructive surgery
|December 12, 2023
概括
新的患者特定需求评估 (PSN) 工具有效评估患者的目标和有意义的收益,帮助共享决策. 这种经过验证的仪器可免费用于临床使用.
科学领域:
- 健康测量健康测量
- 患者报告的结果
- 临床决策支持 临床决策支持
背景情况:
- 没有现有的患者报告工具可以解决个人信息需求,治疗目标和个人有意义的收益 (PMG).
- 本研究介绍了针对手或手腕疾病患者的患者特定需求评估 (PSN) 工具.
- 该PSN旨在评估个性化,临床相关的改善.
研究的目的:
- 开发和验证患者特定需求评估 (PSN) 工具.
- 检查PSN在区分满意和不满意患者方面的歧视性有效性.
- 评估PSN的测试-重新测试可靠性.
主要方法:
- 一种以共识为基础的标准为指导的混合方法方法,用于选择健康测量仪器.
- 开发涉及试点测试,调查 (n=223个试点,n=275个最终),认知总结 (n=16) 和专家投入.
- 通过比较实现PMG的患者的满意度来评估差别有效性 (n=1985);评估测试-重试可靠性 (n=102).
主要成果:
- 五个问题的PSN是免费在线访问,大约需要3分钟才能完成.
- 90-92%的用户发现项目是可以理解的; 84-89%的人认为它们是完整的.
- 该PSN显示出优异的区分有效性 (克拉默V=0.48) 和中度至高的测试-重新测试可靠性 (kappa=0.46-0.68,ICC=0.53-0.73).
结论:
- 公共服务网络 (PSN) 是一个免费的,以患者为中心的工具,可以根据个人需求和目标量身定制咨询.
- 它结合了个人有意义的收益 (PMG) 来评估个性化治疗结果.
- 公共服务网络促进了共享决策,预期管理,并为更广泛的使用做好了实施准备.
相关概念视频
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K


