扩展ABCC工具用于骨关节炎:开发和内容验证
V H J Debie1, T A E J Boymans2, R P G Ottenheijm1
1Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.
Osteoarthritis and cartilage open
|May 29, 2024
概括
骨关节炎患者希望以个人为中心的护理,重点关注身体,情绪和社会因素. 开发了一个新的慢性疾病负担评估 (ABCC) 工具模块,以提高OA护理质量和共享决策.
科学领域:
- 风湿病学和肌肉骨健康
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果衡量结果.
背景情况:
- 目前的骨关节炎 (OA) 管理往往依赖于一个阶段性护理方法,只关注身体症状.
- 骨关节炎患者主张采用更全面,以人为中心的护理模式,整合身体,情感和社会福祉.
- 现有的评估工具可能无法从患者的角度完全捕捉OA的多方面的负担.
研究的目的:
- 开发一种针对慢性病症负担评估 (ABCC) 工具的新型,特定条件的模块,适用于骨关节炎 (OA) 护理.
- 通过整合OA的身体,情感和社会方面来增强ABCC工具,超越纯粹基于症状的评估.
- 通过更全面的评估,提高经验丰富的OA护理质量,促进共享决策.
主要方法:
- 采用了涉及OA患者和医疗保健专业人员的三角代过程.
- 文献搜索和专家小组商为该模块的开发提供了信息.
- 用COSMIN方法评估内容有效性,包括患者反和医疗保健专业人员项目内容有效性指数 (I-CVI) 的计算.
主要成果:
- 开发的OA模块包括针对疼痛,运动恐惧症和关节硬性的具体问题.
- 94%的关节炎患者认为这些问题对他们的病情很重要.
- 医疗保健专业人员的I-CVI分数在0.75 (关节硬) 到1.0 (疼痛,动态恐惧症) 之间,表明内容有效性良好.
结论:
- 为ABCC工具成功开发了一种新的,特定条件的OA模块.
- 本模块通过测量OA特定投诉来补充现有的通用问题.
- 增强的ABCC工具旨在更全面,适用于更广泛的OA患者群体.
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