使用实施理论来定制国际临床指南,以治疗中风后的行走障碍
1Department of Health Rehabilitation Sciences, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk 71491, Saudi Arabia.
Healthcare (Basel, Switzerland)
|August 14, 2025
概括
定制中风康复指南需要考虑组织,临床医生和患者的因素. 有系统的方法对于有效地将证据适应实践至关重要,以获得更好的患者结果.
科学领域:
- 康复医学 康复医学 康复医学
- 基于证据的实践.
- 临床指导方针的调整
背景情况:
- 定制包括将研究结果适应特定的环境和受众.
- 国际中风指南需要适应中风后的步行问题.
研究的目的:
- 检查步行康复国际中风指南的量身定制过程.
- 确定影响临床指南调整的因素.
主要方法:
- 一种涉及卫生专家和物理治疗师的三阶段共识方法.
- 从国家指南中提取建议.
- 在线问卷和共识研讨会,以评估可行性和确定定制因素.
主要成果:
- 21个建议达到了共识,其中大多数被362名物理治疗师评为非常适用.
- 出现了四个关键主题:组织,个人临床医生,患者和其他因素.
- 探索的因素包括临床环境,临床医生的专业知识,患者的并发症和研究设计.
结论:
- 定制临床指南是复杂的,受多种相互作用因素的影响.
- 采用包含多种评估标准的系统策略对于证据利用至关重要.
- 对实施理论的进一步研究可以改善证据在实践中的翻译.
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