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确定部和膝关节骨关节炎全关节整形术的适当性:以患者为中心的概念模型

Lissa Pacheco-Brousseau¹, Dawn Stacey^2,3, François Desmeules^4,5

¹School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.

Musculoskeletal care

|August 10, 2024

概括

这项研究引入了以患者为中心的模型,以确定骨关节炎中全关节整形术 (TJA) 的适当性,确保患者符合条件,准备好,并实现他们的目标. 该模型为关节和膝关节置换决定优先考虑个体患者的价值.

科学领域:

整形外科整形外科整形外科
患者为中心的护理
医疗服务研究医疗服务研究

背景情况:

整关节整形术 (TJA) 是一种治疗骨关节炎的方法,但目前的适当性标准往往忽视了患者的价值.
患者对TJA的益处和危害的看法有很大的不同.

研究的目的:

提出一个以证据为基础,以患者为中心的概念模型,以确定选择性TJA对关节和膝关节骨关节炎的适当性.
将患者的偏好和准备情况纳入TJA决策过程.

主要方法:

使用文献综述,对TJA患者进行定性研究以及专家临床/研究经验,开发了一个概念模型.
该模型侧重于符合条件,患者偏好,以及为TJA做好准备.

主要成果:

拟议的以患者为中心的选择性TJA适当性概念模型涉及三个步骤:评估资格,承认患者的偏好 (目标,期望),并探索准备.
该模型强调,这些步骤可以在慢性疾病 (如骨关节炎) 中进行代.

结论:

该概念模型重新定义了TJA的适当性,使其更加以患者为中心和包容.
这种方法旨在确保患者是合适的候选人,为手术做好准备,并与他们的个人健康目标保持一致.
需要进一步的研究来验证这种以患者为中心的模型.

关键词:

概念模型是一个概念模型.决策能力决策能力骨关节炎是一种关节炎.以患者为中心的护理.整体关节关节整形术

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