开发一套标准的关键工作相关结果,用于心血管疾病患者的实践:修改后的Delphi研究
Marije E Hagendijk1, Nina Zipfel2, Jan L Hoving2,3
1Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. m.e.hagendijk@amsterdamumc.nl.
Journal of patient-reported outcomes
|December 18, 2024
概括
一个新的问卷,Value@WORK-Q23,确定了心血管疾病患者的关键工作成果. 该工具帮助医疗保健提供者提供量身定制,高价值的以工作为中心的护理,提高患者参与度和工作参与度.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高质量的以工作为重点的医疗保健对于心血管疾病 (CVD) 患者维持或恢复工作参与至关重要.
- 基于价值的医疗保健强调以患者为中心的结果,但缺乏对工作相关结果的共识阻碍了质量评估.
- 需要对工作相关结果进行标准化测量,以改善心血管疾病患者的护理.
研究的目的:
- 为荷兰心血管疾病患者确定一套标准的关键工作相关结果.
- 为以工作为中心的医疗保健建立标准化的结果指标和相关的案例组合因素.
- 增强患者的参与度,并将以工作为中心的护理量身定制为个人需求.
主要方法:
- 一个两轮RAND修改的Delphi过程,涉及文献搜索和专家工作组.
- 工作组包括心血管疾病患者 (n=6) 和卫生专业人员 (n=11).
- 通过四个阶段达成共识:范围定义,结果领域优先级,结果措施选择和案例组合因素识别.
主要成果:
- 开发价值@WORK-Q23,一个由患者报告的23项问卷.
- 确定了九个关键的工作相关结果领域:工作参与,身体/精神工作能力,适合工作,工作环境支持/灵活性以及沟通 (患者和跨学科).
- 选择了9个案例组合变量 (人口,疾病和工作因素).
结论:
- 价值@WORK-Q23提供了指导,用于测量心血管疾病患者的关键工作相关结果.
- 将这一套与现有的心血管疾病专项措施相结合,可以加强提供以工作为重点的高价值医疗保健.
- 这种标准化的方法支持针对心血管疾病患者的个性化以工作为中心的护理.
相关概念视频
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Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
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The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
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Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
100