探索患者的观点:通过患者报告的结果指标和患者报告的经验指标来评估骨架手术结果和经验
Gabriele Baniulyte1, Michael Esson1
1Department of Oral and Maxillofacial Surgery, Royal Devon & Exeter Hospital, Barrack Road, Exeter, UK.
The British journal of oral & maxillofacial surgery
|August 10, 2024
概括
患者报告的结果指标 (PROM) 和患者报告的经验指标 (PREM) 有效地捕捉了患者对正视治疗的看法. 这些工具有助于评估治疗有效性和患者满意度,这对于成功的治疗结果至关重要.
科学领域:
- 口腔和牙面部外科手术
- 患者报告的结果措施 (PROMs)
- 患者报告的体验措施 (PREMs)
背景情况:
- 骨格内科治疗的有效性很难客观地评估.
- 患者报告的结果指标 (PROM) 和患者报告的经验指标 (PREM) 从患者的角度提供了对医疗保健质量的宝贵见解.
- 这些仪器越来越被认可用于评估患者的满意度和生活质量.
研究的目的:
- 利用PROMs和PREMs收集患者对其正视治疗过程的看法.
- 评估患者在治疗过程中的经验,以及他们对术后结果的看法.
- 为了将患者报告的结果与治疗疗效和满意度相关联.
主要方法:
- 从整形外科手术患者收集手术前和手术后问卷数据的前性收集.
- 在同意的预约和各种术后时间点给予PROM和PREM.
- 使用费舍尔精确测试来评估变量之间的关系的统计分析.
主要成果:
- 总共分析了64次手术前和126次手术后的反应.
- 手术的主要动机包括改善面部/牙美学和增强摄影/视频外观.
- 这些因素也被确定为最重要的术后益处.
- 58%的受访者报告说,24个月后下唇的感觉发生了变化,但这并没有影响日常活动 (p=0.02).
结论:
- PROMs和PREMs为外科医生提供了一种有价值的方法来评估骨格内科治疗的疗效.
- 这些工具在评估患者满意度方面特别有效,这是治疗的最终目标.
- 纳入患者报告的数据可以提高对治疗结果和护理质量的理解.
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