在英国选择性手术中进行手术前检查清单健康促进的可行性和可接受性:一种混合方法研究协议
Sivesh Kathir Kamarajah1,2, Jugdeep Dhesi3, Kamlesh Khunti4
1Department of Applied Health Sciences, University of Birmingham, Birmingham, UK s.k.kamarajah@bham.ac.uk.
BMJ open
|November 14, 2025
概括
一个新的手术前检查清单有助于识别和管理手术患者的长期疾病. 本研究评估了其可行性和可接受性,以改善外科护理途径.
科学领域:
- 外科手术 手术手术
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 在手术患者中,多病症很普遍,但当前的护理途径往往忽视了长期健康促进.
- 现有的解决方案,以整合长期条件管理到手术护理是有限的.
- 一个共同设计的结构化手术前检查清单旨在解决这一差距.
研究的目的:
- 评估实施一种新的手术前检查清单的可行性,以识别和管理选择性手术患者的长期疾病.
- 评估这个检查清单在患者和临床医生之间是否可接受.
- 收集数据,以便在进行更大的试验之前完善干预措施.
主要方法:
- 在英国国家卫生服务信托中进行的混合方法可行性研究.
- 招募多达50名接受选择性手术的成年患者.
- 通过完成检查清单收集数据,对招聘/保留率进行定量分析,对与患者和临床医生进行半结构面试进行定性专题分析.
主要成果:
- 该研究将报告招聘和保留率,清单完成情况和基线特征.
- 定性数据将探索实施的忠实性,可接受性,障碍和促进者.
- 定量和定性数据的三角测量将为干预改进提供信息.
结论:
- 共同设计的手术前检查清单显示了将长期疾病管理纳入选择性手术护理的潜力.
- 在更广泛实施之前,可行性和可接受性数据对于优化检查清单至关重要.
- 这种方法可以增强手术患者的长期健康促进多病症.
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