在心脏遗传学中是否使用疾病特异性患者报告结果 (PROM) 措施? 一个系统的审查
Saar van Pottelberghe1,2, Nina Kupper3, Esther Scheirlynck4,5
1Clinical Sciences, Research Group Reproduction and Genetics, Centre for Medical Genetics, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium. saartje.vanpottelberghe@uzbrussel.be.
European journal of human genetics : EJHG
|December 14, 2023
概括
在遗传性心脏病 (ICC) 中,患者报告的结果指标 (PROM) 往往是通用的,无法捕捉具体问题. 这次审查强调了高度的心理痛苦,并建议开发ICC特定的PROM,以改善以患者为中心的护理.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 健康 结果 研究 研究 结果
背景情况:
- 以患者为中心的护理 (PCC) 依赖于患者报告的结果指标 (PROM).
- 使用PROM的遗传性心脏病 (ICC) 研究很少,尽管已知对心脏病患者的生活质量和情绪压力的影响.
- 现有研究表明,与健康相关的生活质量 (HRQoL) 较差,心脏病的情绪压力较高.
研究的目的:
- 系统地审查在ICC患者中使用的PROM类型.
- 评估在ICC种群中使用PROM的研究的质量和偏差风险.
- 为了确定目前PROM使用优化PCC在ICC的差距.
主要方法:
- 对调查ICC患者中PROMs的定量研究进行系统审查.
- 在PubMed,PsychINFO和Web of Science数据库中进行的搜索.
- 使用基于Cochrane的工具评估偏见的质量和风险.
主要成果:
- 包括17个符合条件的文章;14个使用的通用HRQoL措施 (例如,SF-36,SF-12),以及3个使用的疾病特异性PROM.
- 在所有研究中,偏差的主要风险是高 (35%) 或不清楚 (30%).
- 患有ICC患者的心理健康得分较低,焦虑 (17-47%) 和抑郁症 (8.3-28%) 患病率明显超过人口标准.
结论:
- 在ICC中,HRQoL主要使用通用PROM进行评估,这些PROM对ICC特定因素缺乏敏感性.
- 在ICC人群中证实了高心理发病率,包括焦虑和抑郁症.
- 建议为ICC开发一种特定疾病的PROM,以加强以患者为中心的护理.
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