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对于患有痴呆症的人来说,患者报告的经验措施:一个范围审查
Madison Chapman1, Rachel Milte1, Suzanne Dawson1
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Australia.
Dementia (London, England)
|August 8, 2024
概括
患者报告经验测量 (PREM) 对于改善痴呆症护理质量至关重要. 然而,目前的PREM在中度到高级痴呆症患者的实施和适用性方面面临挑战,需要定制的仪器开发.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 患者体验研究 研究研究
背景情况:
- 全球痴呆症患病率正在上升,预计到2050年将达到1.39亿.
- 痴呆症患者的低标准护理是一个重大问题,突出了需要提高质量的需求.
- 患者报告体验测量 (PREM) 越来越多地用于评估医疗保健体验.
研究的目的:
- 对使用在弱势群体中使用的PREM进行范围审查,包括那些有认知障碍的人.
- 通过现有的PREM测量尺寸和为可接受性做出的调整来确定尺寸.
- 评估PREMs对中度到高级痴呆症患者的可行性和适用性.
主要方法:
- 进行了Medline数据库搜索,以确定相关研究.
- 36项研究和32个独特的PREM被纳入了审查.
- 数据提取的重点是研究的尺寸,适应性和种群.
主要成果:
- 确定的PREM经常测量护理效率,环境和患者参与度.
- 最常见的调整涉及简化措辞和句子结构.
- 一些措施将患者的结果和对患者体验的满意度混为一谈,限制了具体的应用.
结论:
- 现有的PREM在实施和广泛适用于中度到高级痴呆症患者方面存在局限性.
- 挑战包括这种人群固有的认知和沟通障碍.
- 显然需要开发适合不同医疗保健环境的痴呆症特异性PREM.
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