在随机对照试验中,护理人员对目标实现规模化实施实践的系统审查
Kulpreet Cheema1,2, Taylor Dunn1, Chere Chapman1
1Ardea Outcomes, Halifax, NS, Canada.
Journal of patient-reported outcomes
|March 26, 2024
概括
与护理人员投入的目标实现量化 (GAS) 在研究中未得到充分利用,特别是在儿科和痴呆症患者中. 许多研究遗漏了关键的实施细节,阻碍了这种以患者为中心的结果衡量的可重现性和一致应用.
科学领域:
- 康复研究 康复研究
- 患者为中心的结果.
- 在医疗保健中的测量.
背景情况:
- 目标实现量化 (GAS) 是个性化的,以患者为中心的结果测量,捕捉患者的观点.
- 对于GAS实施的指导方针,特别是与护理人员的投入,很少.
- 这次审查系统地检查了GAS使用与护理人员在研究中的投入.
研究的目的:
- 系统地审查使用目标实现量化 (GAS) 的研究,并提供护理人员的意见.
- 识别GAS实施,分析和报告中的变化.
- 为改善GAS报告提出一个目录.
主要方法:
- 在Medline,Embase,Cochrane,PsycInfo和CINAHL进行系统的文献搜索.
- 包括随机对照试验 (1968-2022年) 使用GAS与护理人员在目标设定过程中的输入.
- 对GAS实施的分析,结果报告和方法细节.
主要成果:
- 21项研究符合纳入标准,主要使用GAS作为主要结果.
- 儿童群体 (76%) 和诸如脑,发育障碍和痴呆症等疾病是最常见的.
- 大多数研究都遗漏了关键的GAS细节 (例如,目标数量,成就水平,辅导员培训).
结论:
- 在随机对照试验中,护理人员输入的GAS是有限的,主要是在儿科和痴呆症中.
- 在GAS实施中的变化和遗漏的报告细节阻碍了可重复性.
- 拟议的报告目录旨在加强包括护理人员在内的GAS的应用.
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