在兽医皮肤病学中,护理人员在病史报告中的信息差异存在差异
Joseph Cordonier1, Tyler Udenberg1, Vincent Defalque1
1North West Veterinary Dermatology Services, 1380 Kootenay Street, Vancouver, British Columbia V5K 4R1 (Cordonier, Udenberg, Korbelik); North West Veterinary Dermatology Services, 108-1497 Admirals Road, Victoria, British Columbia V9A 2P8 (Defalque); The Mountain-Whisper-Light Statistics and Data Sciences, 1827 23rd Avenue East, Seattle, Washington 98112-2913, USA (Miljacic, Polissar).
兽医皮肤病护理人员之间存在信息差异. 临床医生应考虑所有护理人员的病史,以做出明智的决定,类似于人类儿科医学. 这影响了兽医病人的报告.
科学领域:
- 兽医皮肤病学 兽医皮肤病学
- 动物卫生 动物健康
- 临床决策 - 临床决策
背景情况:
- 收集病史对于兽医临床决策至关重要.
- 兽医患者报告与人类儿科医学相似,依赖于护理人员的投入.
- 共同父母的病史中的信息差异在人类儿科中是已知的,但在兽医中没有研究过.
研究的目的:
- 调查兽医皮肤病患者的护理人员之间的告密者协议.
- 评估多个护理人员为单个兽医患者提供的历史数据中的差异.
主要方法:
- 采用了基于问卷的前性描述性研究设计.
- 兽医皮肤病患者的护理人员在单独的房间里填写了病史问卷.
- 通过比较配对的临时护理人员反应,分析了协议比例.
主要成果:
- 对于胃肠道症状 (94.1%),饮食恶化 (84.3%) 和疾病持续时间 (80.4%) 观察到的最高一致性.
- 在2个单位内,关于的共识为61.5%;身体部位受影响的共识为53.5%.
- 对疾病季节性 (38.5%) 和个人药物使用 (38.7%) 达成的协议最低.
结论:
- 在兽医皮肤病学中,护理人员的病史中存在告密者差异.
- 临床医生应考虑所有护理人员的意见,以对患者进行全面的评估.
- 解决护理人员的差异可以改善兽医皮肤病学中的诊断和治疗建议.
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