对澳大利亚痴呆症患者提供常规护理质量的核心结果的确定:多层次修改的Delphi共识研究
Danelle Kenny1, Alyssa Welch2, Tiet-Hanh Dao-Tran2
1Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia d.kenny@uq.edu.au.
BMJ open
|June 18, 2025
概括
这项研究共同设计了痴呆症护理质量的核心成果集. 它确定了家庭和住宅环境的关键结果,以改善对痴呆症患者的护理.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 痴呆症护理研究研究 痴呆症护理研究
背景情况:
- 衡量痴呆症护理的质量对于改善患者的治疗结果至关重要.
- 现有的质量措施可能无法充分捕捉不同护理环境中痴呆症患者的多方面的需求.
研究的目的:
- 共同设计一个核心成果集来衡量痴呆症护理质量.
- 让患有痴呆症的人和各种各样的利益相关者参与定义基本护理结果.
- 建立一个基于共识的结果集,适用于家庭护理和住院老年护理.
主要方法:
- 采用了多层次修改的Delphi共识研究.
- 一个利益相关者小组包括痴呆症患者,护理人员和医疗保健专业人员.
- 70%的共识值指导了四轮结果的包含/排除.
主要成果:
- 最初考虑了七个结果领域和105个单独的结果.
- 在家庭护理方面确定了16个结果,在住院老年护理方面确定了15个结果.
- 在两个设置中都优先考虑了包括尊严,生活质量和安全事件在内的九个核心结果.
结论:
- 识别的结果构成了实用和可衡量的核心成果集的基础.
- 这一核心结果可以提高常规痴呆症护理的质量.
- 共同设计的方法确保了痴呆症患者的相关性和适用性.
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