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加拿大阿尔伯塔省因糖尿病住院的患者经验:使用调查和行政数据的队列研究
Kyle A Kemp1, Paul Fairie1, Maria J Santana2
1Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada; Patient Engagement Platform, Alberta Strategy for Patient-Oriented Research, Calgary, Alberta, Canada.
由于糖尿病而入院的患者报告说,与其他慢性疾病患者相比,他们在医院的经历更糟. 改善的关键领域包括沟通,室内环境,药物信息和疼痛管理,以更好地照顾糖尿病患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验研究 患者体验研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 糖尿病是一种常见的慢性疾病,导致经常住院治疗.
- 关于糖尿病患者在医院护理经验的研究有限.
- 了解这些经验对于改善医疗保健质量至关重要.
研究的目的:
- 检查阿尔伯塔省 (加拿大) 糖尿病入院患者的综合医院体验.
- 将这些经验与其他慢性疾病住院患者的经验进行比较.
- 确定在糖尿病住院护理方面需要改进的具体领域.
主要方法:
- 追溯队列研究将调查数据与住院病人的记录联系起来.
- 使用了加拿大患者体验调查-住院护理 (CPES-IC) 仪器.
- 分析了37个调查问题,将结果分类为"顶级盒子"百分比,并检查了人口统计学/临床因素.
主要成果:
- 12,593项调查分析了7年 (2,288名糖尿病患者,10,305名其他疾病患者).
- 与其他慢性疾病相比,糖尿病患者在24个体验问题上报告了较低的"顶级"分数.
- 确定需要改进的领域:有关病情/住院情况的信息,夜间安静,药物的副作用和疼痛控制.
结论:
- 由于糖尿病而住院的个人报告说,整体患者体验得分明显较低.
- 结果突出了需要针对性干预措施的特定领域,以加强糖尿病住院护理.
- 这项研究为制定改善糖尿病患者医院体验的策略提供了基础.
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