对中脸瘤学患者报告结果衡量的第一阶段开发
Amanda E Yung1,2, Jason Luong1,2, Gareth Crouch1,2
1From the Sydney Medical School, University of Sydney, NSW, Australia.
Plastic and reconstructive surgery. Global open
|March 25, 2024
概括
为中脸癌症手术患者开发了一种新的患者报告结果测量 (PROM),以更好地捕捉功能,美学和心理社会影响. 这份31项PROM解决了当前针对周眼和鼻子重建结果的措施的缺陷.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 患者报告的结果
背景情况:
- 面部中部癌症手术显著影响患者的功能,社会和心理健康.
- 现有的患者报告结果指标 (PROM) 无法充分捕捉面部中部特异性症状.
- PROM对于患者护理,质量改善和结果报告至关重要.
研究的目的:
- 开发一种新型的,中脸特异的患者报告结果测量方法 (PROM).
- 解决当前PROMs在评估中脸癌手术后的结果方面的局限性.
- 专注于眼睛和鼻子重建的结果.
主要方法:
- 开发遵循国际PROM指导方针.
- 第1阶段涉及确定关键问题并通过采访15名患者和10名临床医生生成项目.
- 专题分析和临床专注小组用于项目池开发和规模改进.
主要成果:
- 患者和临床医生的采访确定了美学,功能和心理社会领域.
- 99个项目草案是从定性数据中生成的.
- 最终的中脸特异性PROM包括31个项目 (13个眼睛,10个鼻子,8个一般中脸).
结论:
- 一个新的中面特定的PROM已经开发出来.
- 这种PROM对于评估复杂的中间切除和重建的结果是有价值的.
- 目前,PROM正在进行现场测试.
相关概念视频
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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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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...
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