英国剑桥的一家社区大眼诊所的患者报告结果和经验措施 (POEM):一项观察性研究
Emily Charlesworth1, Jasleen Kaur Jolly2,3, Sarah Farrell4
1Faculty of Health Education Medicine and Social Care, Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, UK emily.charlesworth@aru.ac.uk.
BMJ open
|January 23, 2024
概括
患者报告说,他们对英国社区玻璃眼科诊所的积极经验,感到安全和得到了良好的照顾. 年轻的患者和那些怀疑患有青光眼的人可能需要更多的支持来理解他们的诊断.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 英国医院对眼治疗的需求不断增长,需要转向以社区为基础的模式.
- 社区护理旨在减轻医院系统的压力,并改善患者的可访问性.
- 患者的经验对于评估这些新护理模式的成功至关重要.
研究的目的:
- 评估基于社区的青光眼诊所内的患者体验.
- 评估患者对安全,组织和对护理的整体满意度的看法.
- 为了识别影响社区绿眼患者体验的因素.
主要方法:
- 一项观察性研究在英国格劳科马社区诊所进行.
- 96名患者完成了经过修改的患者报告结果和经验测量 (POEM).
- 收集了人口和社会经济数据,以分析对患者体验的潜在影响.
主要成果:
- 超过90%的患者报告了舒适和与医院护理相似的体验.
- 视觉模拟尺度 (VAS) 的高平均得分表明安全感 (90) 和有组织的护理 (87).
- 年龄,性别,疾病状况和社会经济因素并没有显著影响感知体验,尽管年轻患者 (<60岁) 和疑似青光眼患者的诊断理解较低.
结论:
- 社区玻璃眼诊所提供了积极和安全的患者体验.
- 护理组织和临床医生的安全感知很高.
- 针对性干预措施,包括增加咨询时间和教育材料,推给年轻的患者和那些怀疑患有青光眼的患者,以提高诊断理解.
相关概念视频
01:25Glaucoma: Overview
573
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
573
01:28Angle Closure Glaucoma: Treatment
500
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
500
01:27Open Angle Glaucoma: Treatment
452
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
452