急性病患者可以预测他们的结果吗? 一个范围审查审查
Elisabeth Margaretha Mols1,2, Harm Haak2,3, Mark Holland4,5
1Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Aging and Long Term Care, Maastricht University, Maastricht, The Netherlands elsemieke.mols@mmc.nl.
患有急性疾病的患者.
科学领域:
- 医学预测 医学预测
- 患者报告的结果
- 急性护理研究 急性护理研究
背景情况:
- 患者对急性疾病对健康的影响的理解有限.
- 在慢性护理中预后估计改善了结果和满意度.
- 这篇评论探讨了急性病患者的预测结果.
研究的目的:
- 确定关于急性病患者自我预后的研究.
- 了解患者对结果和护理效益的估计.
- 解决急性疾病感知方面的知识差距.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Google Scholar) 进行系统的文献搜索.
- 纳入标准侧重于预后和急性护理.
- 使用Cochrane手册指南评估偏差风险.
主要成果:
- 包括来自3265篇文章的10项研究;异构的评估方法.
- 患者可以预测住院需求,但不能预测住院时间.
- 症状严重程度和疾病负担往往被误判;严重的病例表现出过度乐观.
结论:
- 关于了解急性病患者的结果,存在重大知识差距.
- 患者的自我预后可能会影响寻求帮助,康复和生活质量.
- 了解患者的预后可以提高医生沟通和以患者为中心的护理.
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