德尔菲研究旨在开发一个核心结果集,用于剖腹产后住院患者的疼痛评估
S Ciechanowicz1, B Carvalho1, J S Berger2
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, United States.
用德尔菲共识开发了剖腹产疼痛的标准化核心结果集. 这旨在提高产后疼痛评估的研究和临床实践的一致性.
科学领域:
- 产科和妇科 产科和妇科
- 疼痛管理 疼痛管理
- 临床研究方法论 临床研究方法论
背景情况:
- 在剖腹产疼痛研究中,不一致的结果报告阻碍了数据合成.
- 需要一种标准化的方法来评估剖腹产后住院患者的术后疼痛.
研究的目的:
- 为在剖腹产后的住院患者进行术后疼痛评估制定一个核心结局.
- 建立研究和临床实践的统一标准来评估剖腹产疼痛.
主要方法:
- 范围审查确定了37个潜在的结果,并补充了2个来自患者重点组的结果.
- 一个多轮的德尔菲共识过程涉及专家和有实践经验的患者.
- 通过调查和虚拟会议,就结果领域和具体措施达成共识.
主要成果:
- 一个由21名专家和患者组成的小组参加了德尔菲过程.
- 关键领域包括疼痛强度 (休息时,运动引起,缓解疼痛),疼痛干扰,阿片类药物消费和孕产妇不良影响.
- 商定了12项具体措施,其中"离开医院床"被确定为运动引起的疼痛的关键功能活动.
结论:
- 开发的核心结果集为评估剖腹产后产痛提供了一个标准化的框架.
- 这套工具可以提高该领域的研究和临床实践的质量和可比性.
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