总关节关节整形术的质量措施的时间依赖,以患者为中心的感知:一个横截面,选择建模研究
Jacie L Lemos1, Jessica M Welch2, Derek F Amanatullah3
1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
BMC musculoskeletal disorders
|January 13, 2025
概括
在康复期间,全关节整形术 (TJA) 患者优先考虑的护理质量转移. 改善日常活动是关键,而疼痛管理和避免重新干预的需要因护理阶段而异.
科学领域:
- 整形外科手术 整形外科手术
- 医疗服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 基于价值的护理需要以患者为中心的质量定义在全关节整形术 (TJA).
- 患者在不同护理阶段对TJA质量的看法仍未得到充分研究.
- 整合患者的观点对于全面的质量评估至关重要.
研究的目的:
- 评估患者对TJA后的护理质量措施的看法.
- 确定这些感知在术前,短期术后和长期术后阶段是否发生变化.
主要方法:
- 一个使用最佳-最差缩放的问卷对153名TJA患者 (术前,短期术后,长期术后) 进行了管理.
- 该方法通过分析最佳和最差项目的选择来衡量患者的优先事项.
- 细分分析比较了患者在三个不同的护理阶段的优先级.
主要成果:
- 患者优先考虑改善日常生活活动,减轻疼痛,避免再次干预.
- 疼痛管理是术前更高的优先事项,在术后短期下降,然后在长期再次增加.
- 避免重新干预和并发症在术后比在术前更为关键.
结论:
- 在TJA康复阶段将质量评估与患者优先级对齐,可以改进基于价值的护理定义.
- 日常生活活动是衡量长期结果的关键因素.
- TJA价值仪表板应反映患者驱动的质量感知,以改善护理.
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