患者激活和坚持结直肠增强恢复途径之间的关联:一个前性队列研究
Sarah Al Ben Ali1,2, Francesca Fermi1,2,3, Ghadeer Olleik1,2,3
1Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, QC, Canada.
Surgical endoscopy
|September 20, 2024
概括
患者激活,定义为管理护理的知识和信心,与更好地遵守增强恢复途径 (ERP) 有关. 较高的患者激活率提高了积极ERP干预的参与度,可能导致更好的外科治疗结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 增强的恢复途径
- 患者参与 患者参与
背景情况:
- 对增强恢复途径 (ERP) 的低坚持可能会对术后结果产生负面影响.
- 患者激活 (PA) 涉及患者的知识,技能和信心参与自己的护理.
- 评估PA和ERP遵守之间的联系对于优化手术恢复至关重要.
研究的目的:
- 在结直肠外科手术患者中,确定患者激活 (PA) 和遵守增强恢复途径 (ERP) 之间的关联.
- 确定更高的PA水平是否与更好地遵守特定的ERP干预措施相关.
主要方法:
- 一项对286名接受选择性结直肠手术的成年患者的队列研究.
- 使用患者激活措施 (PAM) 问卷进行PA的术前评估.
- 用线性回归来评估15个ERP干预措施的遵守情况,分为主动或被动,使用线性回归.
主要成果:
- 74%的患者表现出高的PA.
- 对于被动的ERP干预 (90%) 与积极的 ERP干预 (72%) 相比,遵守率更高.
- 高的PA显著与对ERP干预措施的坚持增加相关 (增长6.8%).
结论:
- 较高的患者激活率与更高的ERP坚持有关,特别是积极干预.
- 在手术前确定患有低血压的患者可以指导干预措施,以加强他们参与ERP.
- 优化患者参与ERP可能会改善术后结果并减少并发症.
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