在急性脑损伤后,以患者为中心的神经恢复方法
Muhammad Aemaz Ur Rehman1, Kristi Emerson2, Vanessa L Merker3
1Massachusetts General Hospital, Department of Neurology, MA, USA; Massachusetts General Hospital Center for Value-based Health Care and Sciences, MA, USA.
概括
在神经恢复诊所收集患者报告的结果可以改善护理. 了解患者的需求,就像身体健康支持一样,有助于在脑损伤后个性化恢复目标.
科学领域:
- 神经科学是一个神经科学.
- 临床医学 临床医学
- 康复医学 康复医学 康复医学
背景情况:
- 患有急性脑损伤的患者需要持续照顾以康复和管理并发症.
- 像修改的兰金尺度 (mRS) 这样的标准结果措施在临床环境中难以系统地收集.
- 纳入患者的观点对于个性化护理和改善康复结果至关重要.
研究的目的:
- 在NeuroRecovery诊所中实施和评估一个系统记录患者报告结果的系统.
- 分析患者的康复优先事项及其与残疾水平 (mRS) 的关系.
主要方法:
- 实施了每周的临床提醒,让提供者使用SmartPhrase来记录mRS和自由文本患者康复目标.
- 对自由文本回复进行了定性内容分析.
- 检查了mRS分数与患者报告的主题之间的关系.
主要成果:
- 在实施提醒后,SmartPhrase文档化率从29%增加到60%.
- 最常见的患者康复主题包括身体健康 (37%),功能恢复 (17%),心理健康 (14%) 和社会健康 (8%).
- 患有较高mRS分数的患者报告说,他们更需要身体健康支持.
结论:
- 在NeuroRecovery诊所中对患者报告的结果进行系统的记录是可行的.
- 这种方法可以为制定以患者为中心的康复目标提供信息,以适应特定的残疾水平.
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