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将多病症患者的综合护理纳入选择性手术途径:混合方法联合设计研究
Sivesh K Kamarajah1,2, Jugdeep Dhesi3,4, Kamlesh Khunti5
1Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
The British journal of surgery
|November 11, 2025
概括
在选择性手术途径中共同设计多种长期疾病 (MLTC) 护理的新模型可以改善患者的健康. 这种干预措施整合了手术过程中早期的MLTC管理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 复杂的干预 复杂的干预
- 患者护理模式的模型
背景情况:
- 选择性手术途径对于患有多种长期疾病 (MLTC) 的患者来说并不适合.
- 目前的系统在手术前为优化患者健康提供了有限的机会.
- 需要共同设计的干预措施来将MLTC护理整合到手术途径中.
研究的目的:
- 共同设计一个可行的干预方案,将多种长期疾病 (MLTC) 护理整合到选择性手术途径中.
- 为了满足接受选择性手术的患者的复杂需求.
主要方法:
- 一个基于理论的,混合方法的共同设计研究.
- 第一个阶段:对英国外科手术途径进行上下文分析 (绘制地图,政策扫描,国家调查).
- 第二阶段:多学科的利益相关者研讨会,制定变革理论.
主要成果:
- 路径映射揭示了变异和延迟的预评估,限制了慢性疾病的优化.
- 英国没有找到关于将MLTC整合到手术途径的指南;很少有医院有特定的途径.
- 共同设计了一项务实的干预措施,重点关注糖尿病,高血压,体重控制和戒烟,有五个关键组成部分.
结论:
- 一个共同设计的模型将多重长期条件 (MLTC) 护理向上流转到手术列表的点.
- 这种方法有可能改善患者的短期和长期健康结果.
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