一项多中心研究,以验证印度伤口管理和安全的患者报告体验测量 (PREM) 工具
Jothi C Michael1, Malathi Murugesan2, V B Narayana Murthy3
1Health Policy, Healthbridge, Chennai, IND.
Cureus
|August 18, 2025
概括
开发了一个新的患者报告体验测量 (PREM) 工具,以评估患者对印度伤口护理的看法. 经过验证的工具突出了改善家庭伤口管理患者教育的领域.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
- 伤口管理研究 创伤管理研究
背景情况:
- 有效的伤口管理对患者的治疗结果至关重要,但患者体验是护理质量的未充分探索的方面.
- 传统的评估侧重于临床结果,在治疗过程中忽视了患者的观点.
- 了解患者的体验是提高伤口管理中的整体医疗保健质量的关键.
研究的目的:
- 开发和验证患者报告体验测量 (PREM) 工具,用于印度的伤口包裹手术.
- 捕捉患者对安全,沟通,感染预防和整体护理的看法.
- 为评估和改善伤口护理机构患者体验提供框架.
主要方法:
- 一项涉及印度各地17家医院的多中心前性研究.
- 通过调查,焦点小组和试点测试,系统地开发PREM工具.
- 在904名患者的数据上,使用确认因素分析 (CFA) 进行心理测量验证.
主要成果:
- 该PREM工具显示出良好的可靠性 (KR-20 = 0.748).
- 报告的高患者满意度是安全检查 (91.3%),解释 (95.7%),感染控制 (100%) 和隐私 (97.6%).
- 在家庭伤口护理培训 (56.7%) 和演示技术 (59.1%) 中发现了重大差距.
结论:
- 患者反对于评估伤口护理质量至关重要,它补充了临床结果.
- 经过验证的PREM工具使医疗保健提供者能够评估和加强以患者为中心的伤口护理.
- 未来的研究应该专注于跨文化验证和将PREM数据与临床结果相结合,以全面提高质量.
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