使用过程质量指标评估CKD护理的质量:一个范围审查
Na Zhou1,2, Chengchuan Chen3, Yubei Liu1
1School of Nursing, Southwest Medical University, Luzhou, Sichuan Province, China.
PloS one
|December 10, 2024
概括
慢性病 (CKD) 护理的质量差异很大. 监测标志物和药物使用等关键指标经常被超过一半的患者满足,但需要一致的报告才能更好地评估.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 评估慢性病 (CKD) 管理质量对于最佳的患者护理和识别差距至关重要.
- 了解CKD护理质量和广泛使用的指标的差异仍然不清楚.
研究的目的:
- 总结慢性病 (CKD) 管理的过程质量指标.
- 根据确定的指标,评估CKD护理的当前质量.
主要方法:
- 在多个数据库 (Medline,PubMed,Cochrane Library,Web of Science,CINAHL,Scopus) 进行系统的文献搜索,截至2024年6月20日.
- 两个独立审查员选了研究,提取了数据,并将质量指标分为主题和类别.
主要成果:
- 24项研究在三个类别中产生了30个质量指标:监测CKD进展/并发症,使用指南推的药物和实现治疗目标.
- 经常报告的指标达到>50%的参与者包括监测标志物 (Scr/eGFR),使用ACEI/ARB,避免NSAID,控制血压 (≤140/90),和监测HbA1c.
- 在监测,药物使用和血压/血糖管理方面的更高成就与糖尿病,高血压,心血管疾病或蛋白尿等并发症有关.
结论:
- 慢性病 (CKD) 管理的质量表现出基于评估的质量指标的变化.
- 未来的研究需要对关键质量指标进行更一致和更全面的报告,以准确评估CKD护理质量.
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