门诊直肠抗菌药物治疗计划中患者报告的结果措施:前性队列研究
Andrea R Burch1,2, Bruno Ledergerber3, Martin Ringer3
1University of Basel, Basel, Switzerland andrea.burch@usz.ch.
BMJ open
|December 3, 2024
概括
门诊亲肠道抗微生物疗法 (OPAT) 计划中的患者在情绪健康和社会功能方面显著改善. 这项研究强调了OPAT的OPAT.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 抗微生物药物管理委员会
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 计划越来越多地用于在门诊环境中管理复杂的感染.
- 评估OPAT对患者健康相关生活质量 (HRQoL) 和满意度的影响对于程序开发和优化至关重要.
- 简单表格-36 (SF-36) 问卷是评估多个领域HRQoL的验证工具.
研究的目的:
- 评估通过SF-36测量的HRQoL的改善,从从瑞士OPAT计划中注册的患者的出院前到出院后.
- 评估患者对OPAT计划的满意度.
- 通过证明患者的积极结果,提供支持OPAT计划实施的证据.
主要方法:
- 一项前性队列研究在瑞士一家公共三级医院进行.
- 在2020年10月至2022年9月期间参加了苏黎世大学医院OPAT计划的33名患者.
- 患者在两个时间点完成了缩短的四个领域的SF-36问卷和额外的满意度问题:出院前和出院后7-14天.
主要成果:
- 在四个SF-36领域中的三个领域观察到显著的改善:"情感角色" (平均差异24.2),"社会功能" (平均差异22.0) 和"情感福祉" (平均差异11.9).
- 平均SF-36得分显示,在这些领域,从释放前到释放后的平均SF-36得分在统计学上显著增加.
- 报告显示,患者满意度很高,97%的参与者表示他们会向他人推OPAT计划.
结论:
- 参与OPAT计划的患者在与健康有关的生活质量方面经历了显著的改善.
- 该OPAT计划显示了高的患者满意度,这表明了积极的患者体验.
- 考虑实施OPAT计划的医院应将患者满意度和HRQoL数据纳入计划启动的理由中.
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