乳腺Q反应:对设计,功能和临床实用性的定性评估,这是一个新的评分解释工具
Minji Kim1, Jaime L Gilliland2, Mei-Fan Parnes1
1Division of Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Annals of surgical oncology
|April 3, 2024
概括
BREAST-Q实时参与和沟通工具 (REACT) 可以改善患者-提供者沟通和乳房重建后的护理. 患者和提供者反将改进REACT,以获得更好的临床效用和以患者为中心的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 患者报告的结果
- 医疗信息学 医疗信息学
背景情况:
- BREAST-Q实时参与和沟通工具 (REACT) 旨在改善BREAST-Q得分的解释,并指导以患者为中心的护理.
- 加强患者与医疗服务提供者的沟通对于有效的术后护理至关重要.
研究的目的:
- 评估患者和提供者对REACT的设计,功能和临床实用性的观点.
- 收集关于精制REACT的建议,以最大限度地提高其在临床实践中的有效性.
主要方法:
- 涉及三个患者重点组的定性研究 (乳房切除术后的乳房重建,手术后≥6个月).
- 两个提供者重点小组 (整形外科医生,乳腺外科医生,高级实践提供者).
- 对录音和转录的焦点小组数据进行主题分析.
主要成果:
- 18名患者和14名医疗服务提供者参与了这项研究.
- 设计/功能主题:视觉吸引力,对结果进行上下文化,规范化体验,建议修改.
- 临床实用性主题:增强患者沟通能力,增加对BREAST-Q的参与度,整合到工作流程中.
结论:
- 患者和提供者认为REACT具有显著的潜力,可以提高BREAST-Q的临床效用.
- 修改可以改善REACT,从而改善患者与提供者之间的沟通.
- 这可以导致以患者为中心,基于纵向BREAST-Q分数的可行的建议.
相关概念视频
01:17Cochran's Q Test
316
Cochran's Q Test is a nonparametric statistical test used to determine if there are potential differences in the outcomes of three or more related groups on a binary (yes/no) or dichotomous outcome. It is essentially an extension of the McNemar Test, which is limited to two related samples - Cochran's Q test can handle three or more related samples, making it more versatile in scenarios where subjects are measured under multiple conditions. The test statistic follows a Chi-Square...
316
01:23Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
998
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
998
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
01:29Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K