多模式预康复对手术前患者激活的影响:一项队列研究
Francesca Fermi1,2,3, Tahereh Najafi Ghezeljeh1,3,4, Julio F Fiore1,2,3
1Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, QC, Canada.
Surgical endoscopy
|July 22, 2025
概括
多模式预康复显著提高了手术候选人低PA的患者激活 (PA),提高了他们对手术的准备. 这种增强的PA可能有助于更好的外科治疗结果和恢复.
科学领域:
- 手术患者护理手术患者护理
- 健康行为干预措施健康行为干预措施
- 患者的参与度 患者的参与度
背景情况:
- 较高的患者激活 (PA) 与改善的外科手术结果有关.
- 在手术患者中增强PA的干预措施的证据有限.
- 多模式预康复提供了一个个性化的方法来潜在地增加PA.
研究的目的:
- 评估多式预康复对选择性手术患者患者激活 (PA) 的影响.
- 为了确定预康复是否可以有效地增加手术前的PA水平.
主要方法:
- 一项涉及选择性手术患者在多模式预康复计划中的队列研究.
- 患者填写了关于PA (PAM),心理健康和干预前后健康素养的验证问卷.
- 分析使用线性和逻辑回归来比较PA变化和结果.
主要成果:
- 在最初低PA的患者中,预康复显著增加了PAM得分 (+\u200917.4,p < 0.001).
- 51%的低PA患者改善到高PA,与非吸烟,更高的健康素养和更低的焦虑/抑郁症有关.
- 高血压前手术与呼吸道并发症风险降低有关 (OR 0.21).
结论:
- 多模式预康复有效地提高了手术前患者的低激活水平.
- 增加PA可能是预康复改善术后结果的机制.
- 在未来的试验中测量PA可以更深入地了解预康复的好处.
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