针对意大利痴呆症管理的基于价值的新情景:SINdem delphi共识研究
Camillo Marra1,2, Flavia Beccia3, Paolo Caffarra4
1Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy.
概括
意大利专家制定了对痴呆症护理的共识建议,包括诊断,阿尔茨海默病 (AD) 生物标志物和疾病修饰治疗 (DMT). 本指南旨在改善患者的旅程,并为卫生系统提供信息.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 由于阿尔茨海默病 (AD) 的新生物学定义和疾病修饰治疗 (DMT) 的出现,意大利的痴呆症护理管理需要更新建议.
- 需要达成全国共识,以应对痴呆症诊断和治疗的不断变化的局面.
研究的目的:
- 为意大利的痴呆症护理管理制定基于专家的建议.
- 提供关于护理服务的组织,生物标志物的获取以及DMT管理的要求的指导.
- 为管理认知障碍的卫生系统提供见解.
主要方法:
- 采用了经过修改的三轮德尔菲方法,涉及意大利神经痴呆症协会 (SINdem) 的46名专家.
- 声明由一个指导委员会创建,并由专家投票通过,共识由特定的同意门定义 (A级:≥75%的完全同意;B级:≥80%的总体同意,<5%的完全不同意).
- 通过使用科恩的卡帕和类内相关系数来评估反应的一致性.
主要成果:
- 在20个陈述上达成共识,其中4个 (20%) 达到A级,16个 (80%) 达到B级.
- 这些声明涵盖了护理服务组织,AD诊断的生物标志物获取,DMT管理要求和认知障碍的管理途径.
- 虽然注意到区域异质性,但在所有陈述中都观察到相当多的一致性.
结论:
- 这种基于专家的德尔菲共识为改善患者在痴呆症护理中的旅程提供了宝贵的指导,从生物诊断到DMT管理.
- 这些发现为意大利卫生系统提供了实际见解,以改善痴呆症管理策略.
- 这些建议是及时和相关的,考虑到AD理解和治疗选择的进步.
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