一个多学科的德尔菲共识,以定义基于证据的质量指标,为糖尿病足的护理
Flora Mbela Lusendi1,2, An-Sofie Vanherwegen1, Frank Nobels3
1Department of Epidemiology and Public Health, Health Services Research, Sciensano, Brussels, Belgium.
European journal of public health
|January 26, 2024
概括
研究人员确定了17个质量指标 (QI) 来评估糖尿病足的护理. 这些新指标涵盖伤口护理整合,营养,胆固醇管理和护理协议,改善DFU患者护理质量.
科学领域:
- 糖尿病学 糖尿病学
- 伤口护理管理管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 缺乏有效的措施来评估糖尿病足患者的护理质量.
- 需要就DFU护理的相关和可行的质量指标 (QI) 达成共识.
- 该研究是比利时倡议的一部分,旨在确定DFU护理QI.
研究的目的:
- 在利益相关者之间就糖尿病足护理的适当和可行的质量指标达成共识.
- 确定以前没有在DFU护理中描述的新型质量指标.
- 开发一个评估工具来监测DFU患者护理质量.
主要方法:
- 召集了利益相关者小组,包括初级保健,专业学科和患者组织代表.
- 使用RAND/UCLA适当性方法与9分利克特级别的指标评级.
- 根据中位数评分和不同意度指数对42个候选基于证据的指标进行分类.
主要成果:
- 在三阶段的过程中,在17个适当的质量指标上达成共识.
- 确定了五个新的QI,重点是伤口护理整合,营养评估,LDL胆固醇管理和协议化护理.
- 这些指标涉及多学科DFU管理和患者护理的关键方面.
结论:
- 识别的基于证据的QA为评估和监测DFU患者的护理质量提供了有价值的工具.
- 建议进行进一步的研究,以评估这些QA与现有措施的互补性.
- 在临床实践中实施这些QI对于改善DFU患者的治疗结果至关重要.
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