终端激动:Delphi方法用于测量症状严重性的工具
Hanna Hirschinger1, Svetlana Hetjens2, Eric Thanbichler3
13rd Department of Medicine, Heidelberg University Medical Faculty Mannheim, Mannheim, Germany hanna.hirschinger@umm.de.
BMJ supportive & palliative care
|November 17, 2025
概括
开发了一种新的数值评分表 (NRS),以客观地评估息治疗中的终端激动. 这种经过验证的工具增强了绝症患者的症状管理和临床决策.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 症状评估 症状评估
- 临床工具开发 临床工具开发
背景情况:
- 在息治疗中评估终端激动是具有挑战性的,因为缺乏验证的,实际的工具.
- 对症状进展和干预有效性的客观监测至关重要.
研究的目的:
- 系统地开发和验证终端动的数值评分表 (NRS).
- 创建一个科学合理和临床适用的常规使用工具.
- 为了使客观的症状监测和药理干预措施的评估.
主要方法:
- 采用结构化的Delphi方法来开发四点NRS.
- 代的专家反确保了清晰度,相关性和临床适用性.
- 验证涉及10名息护理专业人员对五种临床病例场景进行评价.
主要成果:
- 德尔菲进程在NRS方面达到了94%的专家共识.
- 在验证期间,250个评级中的87%与参考解决方案相匹配.
- 大多数偏差 (32个中的38个) 都是轻微的,差异仅为1分.
结论:
- 专家的共识使终端动荡严重程度的描述变得客观化,提高了评估可靠性.
- 经过验证的NRS提供了一个标准化工具,用于客观的临床决策.
- 这种工具可以增强绝症患者的症状管理.
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