在英格兰约克实施和评价一个监督的炼计划
Garry A Tew1, Lisa Sharpe2, Asim Abbas3
1Institute for Health and Care Improvement, York St John University, York, YO31 7EX, UK.
概括
对外围动脉疾病 (PAD) 的监督运动疗法改善了缩症状和步行距离. 约克音练习服务表现出高的患者满意度和成本效益,导致其继续.
科学领域:
- 血管医学
- 康复科学
- 医疗服务研究
背景情况:
- 监督运动治疗 (SET) 是指导方针推的一线治疗外周动脉疾病 (PAD) 的治疗方法.
- 尽管有建议,但SET计划的实施在全球范围内仍然有限.
- 这一项目重点是实施和评估英国约克的SET服务.
研究的目的:
- 为患有PAD导致的关节障碍的患者实施监督的运动计划.
- 评估新服务的可行性,可接受性,忠实性和初步效果.
- 评估实施的运动服务的成本效益.
主要方法:
- 约克声练习服务提供每周两个1小时的课程,持续12周.
- 标准化的计划前后评估测量了包括步行距离在内的结果.
- 用描述性统计和成本比较分析来评估服务的前12个月.
主要成果:
- 29名患者 (44. 6%) 开始了该计划,平均参加了19次治疗.
- 59. 1% 的参与者报告说,关节障碍症状有所改善,平均无疼痛步行距离增加了 110 米.
- 该服务获得了很高的患者满意度,估计每人每年节省223英至366英.
结论:
- 监督运动服务成功地融入现有护理途径.
- 这项服务显示患者满意度很高,症状有所改善,不必要的血管转诊减少.
- 该计划将持续至少两年,
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