患者报告的结果和经验测量 (PROM/PREM) 在接受肝脏手术的患者手术后康复改善 (ERAS®):一项探索性研究
Daniela Rappold1, Stefan Stättner1, Elisabeth Nöhammer2
1Department of General, Visceral and Vascular Surgery, Oberösterreichische Gesundheitsholding, 4840 Vöcklabruck, Austria.
Healthcare (Basel, Switzerland)
|March 28, 2024
概括
患者报告的结果和经验在肝脏手术中是有价值的. 手术后增强恢复 (ERAS) 协议. 常规收集这些措施可以改善患者的护理和满意度.
科学领域:
- 手术结果研究研究.
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术后增强恢复 (ERAS) 协议通过基于证据的途径优化手术结果.
- 患者报告的结果和经验测量 (PROM/PREM) 在肝脏外科手术ERAS协议中并非常规收集.
研究的目的:
- 评估将PROM/PREM纳入肝脏手术ERAS协议中的可行性和实用性.
- 确定与肝脏手术患者相关的关键PROM/PREM类别.
主要方法:
- 用定性内容分析对PROM/PREM的13个病例记录进行了回顾性分析.
- 对10名参与者进行前性调查,评估PROM与EQ-5D-5L以及放电时的PREM.
主要成果:
- 关键的PROM类别包括食欲,疼痛,移动性和伤口状况.
- 关键的PREM类别是护理的连续性,信息,沟通和教育.
- 患者报告说,移动性,自我照顾,通常活动和出院时的疼痛变得更差,但随着时间的推移,焦虑/抑郁症的程度有所降低. 人们对跨专业护理的满意度很高.
结论:
- PROM和PREM对于理解肝脏手术ERAS中的患者观点是有益的.
- 在肝脏手术患者的临床实践中,应实施PROM/PREM的例行采集.
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