关于心脏康复的患者需求:系统审查和元民族学综合
Niek Koenders1, Roel van Oorsouw1, Daniëlle Conijn2
1Department of Rehabilitation Radboud University Medical Center Nijmegen the Netherlands.
患者需要安全,亲人参与,同行支持,个性化护理和未来规划,以改善心脏康复 (CR) 的接受率. 解决这些需求可以提高CR计划的有效性.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 定性研究综合 定性研究综合
背景情况:
- 心脏康复 (CR) 的吸收和完成是不理想的.
- 识别和解决患者需求对于提高CR有效性至关重要.
- 这项研究综合了冠心病,心力衰竭和胸前大动脉剖析的患者需求.
研究的目的:
- 系统地综合心脏康复患者的需求.
- 根据患者需求,为CR专业人员开发一个概念模型和建议.
主要方法:
- 定性研究的系统审查和元民族学综合.
- 包括94项研究,包括来自1731名患者的数据,185名重要其他人和105名专业人员.
- 通过使用GRADE-Confidence in Evidence From Reviews of Qualitative Research (CERQual) 评估证据的可靠性. 通过使用GRADE-Confidence in Evidence From Reviews of Qualitative Research (CERQual) 评估证据的可靠性.
主要成果:
- 确定了五个关键的患者需求:没有过度保护的安全性,其他重要参与,可联系的同行支持,个性化护理和帮助未来规划.
- 对有关安全,其他重大参与和未来规划的调查结果的高度信心.
- 对有关同行支持和个性化护理的调查结果的适度信心.
结论:
- 目前的心脏康复计划需要创新,以满足患者的需求.
- 解决过度保护问题和确保其他重大参与至关重要.
- 实施同行支持,个性化照顾和面向未来的指导可以改善CR的吸收和完成.
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