心血管研究和护理中的患者报告结果措施:PRO (M) 和CONS (C)
Giuseppe Biondi-Zoccai1,2, Giacomo Frati1,3, Mariangela Peruzzi2,4
1Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Journal of cardiovascular pharmacology
|January 23, 2025
概括
患者报告的结果措施 (PROM) 通过捕捉患者经验来增强心血管保健. 这些工具对于个性化治疗和改善以患者为中心的心血管研究和管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 健康 结果 研究 研究 结果
- 数字健康数字健康
背景情况:
- 患者报告的结果测量 (PROM) 对于评估患者心血管疾病 (CVD) 经验至关重要.
- PROM补充了传统的临床结果,如死亡率和发病率,提供了对生活质量和功能能力的见解.
- 它们是慢性心血管疾病管理和康复的组成部分.
研究的目的:
- 突出PROM在心血管研究和临床实践中的重要性.
- 讨论CVD中PROM的选择标准,实施挑战和未来方向.
- 强调PROM在以患者为中心的护理和个性化治疗中的作用.
主要方法:
- 对现有文献和在心血管研究中广泛使用的PROM进行审查 (例如,堪萨斯城心肌病问卷,西雅图心痛问卷).
- 讨论PROM的评估标准:有效性,可靠性和对变化的敏感性.
- 在现实世界的临床环境中探索实施策略和挑战.
主要成果:
- PROM提供了有关患者报告的生活质量,功能能力和情感福祉的宝贵数据.
- 有效的选择需要对仪器心理测量属性的严格评估.
- 实施需要解决工作流集成和患者遵守问题.
结论:
- 在以患者为中心的心血管保健,研究和管理中,PROM是不可或缺的.
- 数字健康和人工智能将增强PROM数据收集和分析,以提供个性化治疗.
- 未来的努力必须集中在全球适用性和融入创新研究的文化适应上.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
273
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
273
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
55
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...
55
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
95
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
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...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
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...
95
Pulse rhythm
755
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
755
Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Assessment of the Cardiovascular System IV: Auscultation
204
Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
204


