在印尼的三级和二级护理医院实施以患者为中心的子宫内膜异位症护理
Achmad Kemal Harzif1,2, Beryliana Maya Anisa1, Eva Suarthana3
1Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Heliyon
|November 18, 2024
概括
以患者为中心的子宫内膜异位症护理 (PCEC) 改善了印度尼西亚的患者体验. 培训和临床指南加强了护理,特别是尊重患者价值观和整合服务.
科学领域:
- 生殖医学 生殖医学
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
背景情况:
- 子宫内膜异位症在五年内影响40-50%的患者,显著降低了生活质量.
- 以患者为中心的子宫内膜异位症护理 (PCEC) 尊重患者的价值观和偏好,有可能改善治疗结果.
- 这项研究是第一个评估印尼PCEC实施的研究.
研究的目的:
- 评估印尼医院以患者为中心的子宫内膜异位症护理 (PCEC) 的实施和影响.
- 用ENDOCARE问卷 (ECQ) 来评估患者对护理质量的看法.
- 在三级和二级护理环境中比较PCEC.
主要方法:
- 在2021年10月至2022年5月期间,在印度尼西亚的两个中心 (三级和二级护理) 进行了一项比较研究.
- 使用Endocare问卷 (ECQ) 来测量患者中心性得分 (PCS),平均重要得分 (MIS) 和负效率百分比 (PNP).
- 招募了73名患者,并根据护理中心分成几组.
主要成果:
- 与二级护理中心 (中心-2) 相比,第三级护理中心 (中心-1) 的患者在多个维度上报告了显著更高的患者中心性得分.
- 显著改善的关键方面包括尊重患者价值观,护理协调,信息提供,身体舒适和临床工作人员互动.
- 更高的患者中心性得分与更高的教育水平和先前的子宫内膜异位症复发有关.
结论:
- 子宫内膜异位症培训和临床指导方针有效地提高了患者对PCEC的体验.
- 简化患者信息对于改善对治疗目的的理解至关重要.
- 实施PCEC策略可以显著提高印度尼西亚子宫内膜异位症患者的护理质量.
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