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在退伍军人卫生管理局中就长期COVID症状和患者报告的结果达成共识,使用修改后的混合名义组-德尔菲方法.
Amelia Schlak1, Ilana Seidel2,3, Omar Awan4,5
1Department of Veterans Affairs, Health System Research Portfolio, Office of Research and Development, Washington, DC.
Medical care
|October 13, 2025
概括
一个共识过程在退伍军人卫生管理局 (VHA) 门诊诊所对长期COVID症状进行了标准化评估. 这种电池有助于持续跟踪长期COVID条件,以改善退伍军人护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床评估 临床评估
- 公共卫生 公共卫生
背景情况:
- 退伍军人卫生管理局 (VHA) 缺乏用于跟踪长期COVID症状的标准化方法.
- 这种缺陷影响了持续的患者监测和护理.
研究的目的:
- 为了在临床利益相关者之间达成共识,在VHA门诊访问期间评估长期COVID症状.
- 为长期COVID评估推一种特定的仪器组.
主要方法:
- 采用了混合德尔菲-名义集团的方法.
- 利益相关者包括VHA长期COVID现场咨询委员会 (FAB),实践社区 (CoP) 和退伍军人的意见.
- 文献审查和临床医生问卷确定了68种工具,通过多轮协商一致来改进.
主要成果:
- 选择了最终的评估电池,包括修改的约克郡COVID-19康复调查,VHA整体健康健康标志,运动重要标志问卷和2分钟步骤测试.
- 整体健康问题被整合起来,与VHA的使命保持一致.
- 排除了现有的VHA常规护理仪器,以避免冗余.
结论:
- 一个快速的,结构化的共识过程成功地确定了一个症状仪器电池.
- 这一电池旨在在VHA诊所标准化长期COVID症状评估.
- 该倡议支持在退伍军人中改善长期COVID的管理.
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