常规使用患者报告的经验和儿童和青少年的结果措施:一个范围审查
Anne Alarilla1,2, Katharine Terrell3, Paula Kelly3
1UCL Great Ormond Street Institute of Child Health, London, UK. anne.alarilla.16@ucl.ac.uk.
Systematic reviews
|November 28, 2024
概括
患者报告的结果测量 (PROM) 和患者报告的经验测量 (PREM) 可以提高医院儿童和青少年的护理. 然而,将它们纳入常规护理和有效应用需要进一步调查和考虑实施挑战.
科学领域:
- 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
- 儿科卫生服务研究 儿童卫生服务研究
背景情况:
- 患者报告的结果指标 (PROM) 评估健康状况,而患者报告的经验指标 (PREM) 评估医疗保健经验.
- PROM/PREM可以赋予儿童和青少年 (CYP) 在护理决策中的权力,并提高医疗保健质量.
- 对于PROMs/PREMs在常规CYP医院护理中的整合程度尚不清楚.
研究的目的:
- 进行范围审查,以了解有关PROMs/PREMs在医院CYP常规护理中的文献.
- 绘制有关儿童医院环境中PROMs/PREMs的使用,益处,障碍和促进者的现有证据.
主要方法:
- 一个系统的范围审查,遵循乔安娜·布里格斯研究所的方法.
- 在多个数据库 (Ovid,Scopus,Web of Science) 中使用相关关键字进行搜索.
- 数据分析包括频率计数和内容分析以进行主题映射.
主要成果:
- 172项研究符合纳入标准,PROM在常规儿科医院护理中比PREM更为普遍.
- 电子收集方法是常见的,使用集中在特定的专业,设置和国家.
- 虽然使用,临床应用和服务开发都被绘制了地图,但缺乏一致的报告,并确定了实施挑战.
结论:
- PROM/PREM具有显著的潜力,可以改善医院CYP护理的各个方面.
- 对其在临床实践和服务开发中的应用有更好的理解,对于其有意义的利用至关重要.
- 需要对电子PROM/PREM的广泛使用进行进一步的调查,以确保其有效地融入常规儿科护理.
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