在面创伤中患者报告的结果措施:一个范围审查
Aaron L Zebolsky1, Jillian P Krebs1, Nicholas Behymer1
1Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
The Laryngoscope
|May 15, 2025
概括
在面创伤研究中,患者报告的结果措施 (PROM) 是多样化的,主要关注心理社会福祉. 本次审查确定了关键领域,以指导开发更全面的PROM,以改善患者护理.
科学领域:
- 面外科手术 面外科手术
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 面创伤研究主要使用客观和临床医生评估的结果.
- 患者报告的结果测量 (PROM) 提供了对患者体验的宝贵见解,但在这个领域不一致地应用.
研究的目的:
- 系统地审查和描述用于面创伤研究的PROM主题领域.
- 在这个患者群体中识别当前PROM应用中的共同主题和差距.
主要方法:
- 在PubMed,Cochrane,Scopus和CINAHL数据库中进行了全面的文献搜索.
- 分析了到2025年3月发表的研究,其中包括至少一个用于面创伤患者的PROM.
- 仪器被归类为已建立的PROM或定制调查,其关键主题领域按照PRISMA-ScR指南进行了表征.
主要成果:
- 包括来自23个国家的96项研究,重点关注下骨折,中脸骨折或两者兼而有之.
- 73项研究使用了39个已建立的PROM,主要涵盖心理社会功能 (82.1%),疼痛 (38.5%) 和日常任务 (35.9%).
- 定制调查更有可能解决面部功能 (57.5%),疼痛 (50%) 和对结果的满意度 (32.5%),突出了这些领域已建立的措施中的差距.
结论:
- 面创伤研究中的PROM是多元的,重点关注心理社会方面.
- 面部功能和外观的PROM显著不足.
- 确定了六个关键领域,为在未来的面创伤研究中开发标准化和全面的PROM提供了框架.
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