诊断和管理心力衰竭患者与保存的喷射分数:一个共识调查调查
Rosalynn Austin1,2, Eva Khair3,4, Thomas Blakeman5
1Department of Public Health, University of Stavanger, Stavanger, Norway.
BMJ open
|January 14, 2025
概括
医疗保健提供者同意诊断心力衰竭与保存的喷射分数 (HFpEF) 是至关重要的. 然而,关于HFpEF管理责任和方法的共识缺乏,强调需要改进服务和协作护理途径.
科学领域:
- 心脏病学 心脏病学
- 主要护理医学 医疗保健
- 医疗保健管理的管理
背景情况:
- 随着心力衰竭与保留喷射分数 (HFpEF) 的流行率的增加,诊断和管理面临着挑战.
- 最近的药理学进步增加了对HFpEF的兴趣,但临床实践的差距仍然存在.
- 本研究解决了了解医疗保健提供者对HFpEF护理的观点的需要.
研究的目的:
- 评估初级和二级保健提供者之间关于HFpEF诊断的共识.
- 检查提供商关于HFpEF最佳管理策略和责任的协议.
- 识别障碍物和促进者,以提供有效的HFpEF护理.
主要方法:
- 一项在线调查与英国各地的医疗保健提供者 (HCP) 进行了开发和试点测试.
- 调查数据使用频率计数,专业团体之间的比较和自由文本响应的主题分析来分析.
- 调查结果在与参与的医疗保健工作人员的虚拟研讨会上进行了讨论和改进.
主要成果:
- 在诊断HFpEF的重要性方面存在很高的共识 (92%);大多数人赞成将其纳入质量成果框架指标.
- 关于持续的HFpEF管理是否应该在初级保健中存在,没有明确的共识.
- 在普通医生和专家之间,在提高实践护士的HFpEF管理技能方面,注意到了显著的差异,对管理HFpEF的HF专业护士有强烈的支持.
结论:
- 虽然诊断HFpEF被认为是至关重要的,但在诊断和管理方法方面存在重大差异.
- 医疗保健提供者表示担心资源限制和服务过剩影响HFpEF护理.
- 开发协作护理途径对于支持日益增长的HFpEF患者群体至关重要.
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