探索患者使用PROMs的经验,作为中风后常规的出院后随访评估:一种混合方法方法
B M P Mourits1, S J den Hartog2, J A de Graaf3,4
1Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. b.m.p.mourits@umcutrecht.nl.
Journal of patient-reported outcomes
|April 26, 2024
概括
患者报告结果测量 (PROMs) 是可行的,并且对中风患者在出院后的随访期间有价值. 讨论PROM结果可以提高患者的洞察力和医疗保健提供者的理解.
科学领域:
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 患者报告结果测量 (PROM) 越来越多地用于中风护理.
- 在常规中风护理中,PROMs的实施仍在发展.
- 这项研究探讨了患者在缺血性中风随访中使用PROMs的经验.
研究的目的:
- 评估患者在例行出院后中风护理中的患者报告结果测量 (PROM) 的患者经验.
- 在对缺血性中风患者的咨询中评估PROMs的感知价值.
- 了解PROM如何影响患者的洞察力和医疗保健提供者的理解.
主要方法:
- 未来的混合方法研究涉及缺血性中风患者.
- 患者填写了关于PROM和咨询的评估问卷.
- 与一小部分患者进行了深入的电话采访.
主要成果:
- 大多数患者 (82.2-96.6%) 认为PROM是可行的和相关的.
- 一半的患者 (49.2-51.6%) 发现PROMs对咨询有用;87.3-96.8%报告了积极的咨询体验.
- 对于51.6%的患者来说,PROM提供了洞察力,近75%的医疗保健提供者认为PROM对医疗保健提供者有用.
结论:
- 对于中风患者在出院后完成PROM是可行的,提供了显著的附加值.
- 建议与患者讨论PROM结果,以最大限度地提高其价值并提高未来完成率.
- PROMs提高了患者的自我洞察力,并为医疗保健提供者提供了对患者相关问题的更广泛理解.
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