对心房动和多病症患者的关键需求,质量绩效指标和结果:AFFIRMO研究
Donato Giuseppe Leo1,2, Caterina Trevisan3,4,5, Adele Ravelli3
1Liverpool Centre for Cardiovascular Sciences, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
PloS one
|September 10, 2024
概括
这项研究确定了患者的关键需求,质量指标和心房 (AF) 护理的结果. 这些发现将指导AFFIRMO试验,使用新应用程序改善AF管理与多病症.
科学领域:
- 心脏病学 心脏病学
- 患者为中心的护理
- 医疗服务研究 医疗服务研究
背景情况:
- 心房动 (AF) 患者经常有影响生活质量和护理的并发症.
- AFFIRMO研究通过确定患者和护理人员的需求来解决这些挑战.
- 医疗保健专业人员 (HCP) 也包括在内,以改善AF管理.
研究的目的:
- 确定关键需求,质量绩效指标 (QPI) 和AF患者的结果.
- 提高长期病情的AF患者的生活质量和临床管理.
- 为改善AF自我管理的干预措施的发展提供信息.
主要方法:
- 在五个欧洲国家进行了在线调查 (2022年5月至2023年1月).
- 参与者包括659名患者,201名护理人员和445名医疗人员.
- 与国际代表一起进行的三轮德尔菲进程完善了这些发现.
主要成果:
- 一个初始清单由27个需求,9个QPI和17个结果生成.
- 在19个需求 (70%),8个QPI (89%) 和13个结果 (76%) 上达成共识.
- 这些以共识驱动的元素构成了改进的AF护理策略的核心.
结论:
- 确定的需求,QPI和结果将指导AFFIRMO临床试验.
- 该试验将测试iABC应用程序,为患者和护理人员提供一个赋权工具箱.
- 该干预旨在促进患者参与和自我管理在多病性AF.
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