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一个结构化的综合性肺栓塞后护理模式的开发:参加PE模型
Anette Arbjerg Højen1, Stine Foged Lindegaard1, Erik Lerkevang Grove2
1Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Journal of thrombosis and haemostasis : JTH
|August 9, 2024
概括
使用联合生产方法开发了一个新的结构化后续模型,即Attend-PE,以解决肺栓塞 (PE) 后持续的功能限制. 这种基于证据的模型旨在通过综合,个性化的后续策略来改善患者护理.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
- 患者护理模式的模型
背景情况:
- 超过50%的肺栓塞 (PE) 患者经历了持久的功能障碍.
- 目前的指导方针建议对PE进行综合治疗,但最佳的后续策略缺乏共识和足够的证据.
- 持续的症状显著影响PE幸存者的生活质量.
研究的目的:
- 开发一个结构化,综合的护理模式,用于肺栓塞后的随访.
- 在模型开发中利用联合生产方法,让患者和医疗保健专业人员参与.
- 创建一个基于证据和理论基础的后续战略.
主要方法:
- 从2021年10月到2022年6月使用联合制作和参与式设计技术.
- 利用干预映射来实现循序渐进,基于证据的方法.
- 在18个丹麦治疗PE患者的场所进行了需求评估.
- 综合文献评论和专家/患者研讨会用于模型设计.
主要成果:
- 开发了Attend-PE模型,这是一个结构化的综合性PE后护理途径.
- 模型包括需求评估,目标定义和联合制作研讨会.
- 参与PE的特点是医院内随访,团体教育,个人咨询和患者报告的结果.
- 该模型支持个性化的住院后护理计划,重点关注身体和心理健康.
结论:
- 成功的联合制作产生了一个结构化的后续模型,满足患者和提供者的需求.
- 参与PE模型与当前的临床指南保持一致.
- 该模型正在进行临床评估,以确定其有效性和可用性.
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