患者报告的结果和中央静脉接入装置患者的经验指标:系统性审查
Emily N Larsen1,2,3,4, Claire M Rickard5,6,7,8,9, Nicole Marsh5,6,7,8
1School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia. e.larsen@griffith.edu.au.
这次审查发现,许多患者报告了中央静脉接入装置 (CVAD) 的结果和经验指标,但大多数缺乏临床使用的确立有效性和可靠性.
科学领域:
- 在瘤学瘤学.
- 医疗器械 医疗器械
- 患者报告的结果
背景情况:
- 中枢静脉接入装置 (CVAD) 在固体瘤和血液恶性瘤患者的化疗和复杂疗法中至关重要.
- 患者的结果和经验受到CVADs的显著影响.
研究的目的:
- 系统地审查和批评专门为CVADs设计的患者报告结果测量 (PROM) 和患者报告体验测量 (PREM) 仪器.
主要方法:
- 在2022年4月,在健康数据库中进行了系统的文献搜索.
- 包括的研究量化测量了患者报告的结果和经验,使用CVAD的自我报告仪器.
- 数据提取和质量评估由两位作者独立进行,并对研究结果进行叙事综合.
主要成果:
- 审查确定了41项符合条件的研究,其中31项使用专门构建的问卷,六项使用通用措施,四项使用两者.
- 总体上,研究质量较低,只有两项研究评估了内容有效性和内部一致性.
- 在五个领域提取了155个独特的PROM项目,在13个领域提取了184个独特的PREM项目.
结论:
- 虽然研究和质量改进倡议越来越多地使用PROM和PREM用于CVAD,但大多数是专门构建的.
- 关键的是,这些主要是专门制造的仪器的有效性和可靠性尚未足够确立,无法广泛的临床应用.
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