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Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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相关实验视频

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Standardized Histomorphometric Evaluation of Osteoarthritis in a Surgical Mouse Model
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在整关节整形外科医生中,常规患者报告的结果测量利用与临床上有意义的结果实现之间的关联.

Mihir S Dekhne1, Kyle N Kunze1, Yu-Fen Chiu2

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.

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概括

外科医生使用患者报告的结果指标 (PROM) 改善了膝关节置换患者的实质性临床益处 (SCB). 然而,PROM的使用并没有显著影响关节置换患者的结果.

关键词:
胡斯JR的房子科斯小弟 (KOOS JR) 是一个在MCID中,MCD是MCD.在PGICIC的基础上,患者报告的结果衡量患者报告的结果.欧洲央行SCB SCB

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科学领域:

  • 整形外科手术 整形外科手术
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 患者报告的结果测量 (PROMs) 对于评估全关节整形术 (TJA) 护理质量至关重要.
  • 医疗保险和医疗保险服务中心对TJA的PROM的强制性报告从2027年开始.
  • 这项研究调查了PROM使用对初级TJA后患者结局的影响.

研究的目的:

  • 评估外科医生使用PROMs对实现临床重要差异 (MCID),实质性临床益处 (SCB) 和患者报告的总体变化印象 (PGIC) 的影响.
  • 根据外科医生PROM使用情况,比较初级全关节整形术 (THA) 和全膝关节整形术 (TKA) 患者之间的结果.

主要方法:

  • 对7,441名初级TJA患者 (4,458名THA,2,983名TKA) 进行了分析,这些患者在手术前和手术后患有PROM.
  • 外科医生根据参考手术前的PROM被归类为PROM用户或非用户.
  • 在1年评估的结果包括MCID,SCB和PGIC,并根据患者年龄,性别和BMI进行调整.

主要成果:

  • 膝关节整形术 (TKA) 患者的外科医生使用PROMs更有可能达到SCB (p<0.001;p=0.002).
  • 基于PROM使用,在TKA患者中没有观察到MCID或PGIC的显著差异.
  • 在PROM用户和非用户组之间没有发现MCID,SCB或PGIC的显著差异,用于全关节整形术 (THA).

结论:

  • 外科医生在TKA中引用PROM与改善的SCB有关,这表明PROM集成的潜在好处.
  • 对THA缺乏显著影响可能是由于该组患者的满意度普遍更高,更容易预测.
  • 使用PROM可能会提高特定TJA群体的结果,这需要进一步研究.