验证一个调查问卷,以评估在西班牙马拉加的初级保健中的息护理需求的复杂性:一个研究协议
Virginia Patricia Aguiar-Leiva1,2,3, Francisca Leiva-Fernández3,4, Maria Luisa Martín-Roselló5,2
1Fundacion CUDECA, Málaga, Spain vaguiarleiva@gmail.com.
BMJ open
|July 17, 2025
概括
一个适用于初级保健的新工具有效地识别和分层了息护理 (PC) 的复杂性. 这种经过验证的工具IDC-Pal (Instrumento Diagnóstico de la Complejidad en Cuidados Paliativos),旨在改善患者护理和资源配置.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 临床工具验证临床工具验证
背景情况:
- 息治疗 (PC) 患者的需求复杂且不断变化,需要有效的评估工具.
- 现有的PC评估工具缺乏标准化,阻碍了一致的应用.
- 开发用于医院/社区环境的IDC-Pal (Instrumento Diagnóstico de la Complejidad en Cuidados Paliativos) 工具在初级保健中具有挑战性.
研究的目的:
- 为初级保健机构适应IDC-Pal工具,以识别和分层成人息治疗患者的复杂性.
- 严格评估面部,内容,标准和构造适应IDC-Pal工具的有效性.
- 评估新的初级保健专注仪器的可靠性.
主要方法:
- 一项三阶段临床验证研究:专家委员会审查 (第0阶段),专家共识的Delphi技术 (第1阶段),以及初级保健中的经验验验证 (第2阶段).
- 第二阶段涉及从安达卢西亚各地的初级保健医生和护士收集横截面数据,评估PC需求的成年患者.
- 统计分析包括可靠性测试 (克朗巴赫的alpha,麦当劳的omega,ICC) 和构造有效性评估 (EFA),使用NEC-PAL问卷进行融合有效性.
主要成果:
- 该研究旨在在2025年之前获得0-1期的结果,并在2026年之前获得2期的结果.
- 可靠性和有效性分析将确定适应IDC-Pal工具对初级保健的有效性.
- 探索性别,职业类型和管理环境之间的差异将提供进一步的见解.
结论:
- 预计适应的IDC-Pal工具将提供一个验证的方法来评估初级保健中的息护理复杂性.
- 这项研究旨在为初级保健机构的实践建议和资源配置提供信息.
- 结果将有助于未来的临床实践指南和研究诊断PC复杂性的研究,利用初级保健的守门员作用.
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