手术患者报告的经验测量和定性经验研究:系统性审查
Maram Darwish1,2, Shabita Nandy3, Simone Willis4,5
1Southeast Wales Vascular Network, University Hospital of Wales, Cardiff, UK.
BJS open
|February 11, 2025
概括
这次审查确定了七项特定于手术的患者体验指标和关键主题,如沟通和等待时间. 需要进一步的研究来改善这些关键工具的心理测量特性,以增强外科护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
- 手术护理的质量 手术护理的质量
背景情况:
- 患者报告的体验测量 (PREM) 对于从患者的角度评估医疗保健质量至关重要.
- 了解手术环境中的患者体验对于改善服务至关重要.
研究的目的:
- 系统地识别和评估手术特定的PREMs.
- 评估已识别的PREMs的心理特征.
- 综合有关手术患者经验的定性主题,并确定研究设计偏见.
主要方法:
- 在多个数据库和临床试验注册表中进行全面的文献搜索,直到2023年9月.
- 使用Joanna Briggs Institute工具进行定性数据和偏差风险评估的主题综合.
- 使用经过修订的基于共识的健康测量仪器选择标准 (COSMIN) 清单对PREM的评估.
主要成果:
- 在14项研究中,确定了7种手术特异性PREM.
- 关键的患者体验主题包括沟通,护理环境,满意度,入院前信息,护理协调,等待时间和术后支持.
- 在所有PREM中报告了足够的内部一致性,但其他心理测量特性是可疑的.
结论:
- 需要更严格地验证手术PREM的心理特征.
- 确定的主题强调了解决沟通,等待时间和支持以改善手术患者旅程的重要性.
- 这些发现可以指导临床医生改善患者的沟通和外科护理环境中的整体体验.
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