预测下肢截肢后的功能性结果:个性化患者结果的证据审查
Daniel C Norvell1, Alison W Henderson2, Elizabeth G Halsne1
1VA Center for Limb Loss and Mobility (CLiMB), VA Puget Sound Health Care System, 1660 South Columbian Way, MS 151-R, Seattle, WA 98108, USA.
Physical medicine and rehabilitation clinics of North America
|October 10, 2024
概括
预测下肢截肢因血管疾病而导致的患者结果对于个性化康复至关重要. 这种方法有助于做出有关截肢水平和假肢处方的明智决策,增强共享决策.
科学领域:
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
- 临床决策 - 临床决策
背景情况:
- 传统研究的下肢截肢因动脉障碍疾病的重点是平均结果和风险因素.
- 越来越需要针对患者的结果预测,以指导个性化康复策略.
研究的目的:
- 审查支持下肢截肢后预测患者特异性结果的重要性的证据.
- 讨论预测模型的应用在制定决策支持工具的共享决策.
主要方法:
- 关于下肢截肢结果预测现有证据的文献综述.
- 讨论预测模型如何为临床实践和患者的选择提供信息.
主要成果:
- 预测个体患者的结果对于优化截肢水平和假肢选择至关重要.
- 预测模型可以通过结合患者的优先事项和偏好来增强共享决策.
结论:
- 个性化结果预测对于有效的血管障碍下肢截肢康复至关重要.
- 利用预测模型的决策支持工具可以改善以患者为中心的护理和治疗规划.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
3
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
3
Peripheral Artery Disease III: Interprofessional Care
3
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
3
Peripheral Artery Disease IV: Nursing Management
3
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
3


