在手术后胃肠道恢复 (PRO-diGI) 患者报告的结果指标的开发
Matthew J Lee1,2, Daniel M Baker3, Debby Hawkins4
1Department of Applied Health Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
一种名为PRO-diGI的新型患者报告结果测量 (PROM) 已开发,用于评估腹部重大手术后的胃肠功能障碍. 该工具在监测患者康复方面表现出良好的可靠性和响应能力.
科学领域:
- 手术患者恢复后的恢复情况.
- 评估胃肠道功能障碍的评估
- 患者报告的结果措施 (PROMs)
背景情况:
- 大型腹部手术经常导致胃肠道功能障碍,包括术后腹膜.
- 现有的临床工具缺乏针对这种疾病的患者报告结果指标 (PROM).
- 需要一个经过验证的PROM来捕捉患者胃肠道恢复的经验.
研究的目的:
- 开发和验证一种新的PROM,用于经历重大腹部手术后出现胃肠功能障碍的患者.
- 创建一个以患者为中心的工具来评估康复和福祉.
主要方法:
- 一个四个阶段的开发过程,包括患者采访,专家反和心理测试.
- 主要组件分析用于项目减少和域识别.
- 测试重复测试可靠性和飞行员响应性在不同的患者队列中进行了评估.
主要成果:
- 在四个领域开发了一个15项问卷,PRO-diGI:恶心,饮食,幸福感和肠道.
- 该PROM显示了高面值,良好的测试-重新测试可靠性 (ICC ≥0.7),以及飞行员的响应性.
- 最初的验证表明,该工具有效地捕捉了患者报告的胃肠道恢复.
结论:
- PRO-diGI 是一个心理测量健全的PROM,用于经过重大腹部手术后的胃肠功能障碍.
- 该措施展示了面部有效性,可靠性和响应性,适合临床使用.
- 建议进行进一步的外部验证,以便更广泛地实施和整合到患者护理中.
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