针对有复杂精神和神经发育需求的儿童和青少年,开发和实施基于测量的护理:来自安大略省广泛需求服务的早期经验
Victoria Rombos1, Zainab O Salami1, Genevieve Ferguson1
1Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Frontiers in psychiatry
|January 21, 2026
概括
在儿科神经发育服务中实施基于测量护理 (MBC) 是有前途的. 让临床医生和家庭参与,并将PROM整合到工作流程中,是成功为有复杂需求的儿童提供基于证据的护理的关键.
科学领域:
- 儿科神经发育健康 儿科神经发育健康
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 以测量为基础的护理 (MBC) 对于使用患者报告的结果测量 (PROM) 来告知临床决策至关重要.
- 在神经发育的儿科患者群体中,MBC的应用与复杂的同时发生的疾病是有限的.
- 这项研究通过在这样一个人群中实施和评估MBC来解决这一差距.
研究的目的:
- 在安大略省针对神经发育儿科患者的广泛需求服务 (ENS) 计划中实施和评估基于测量的护理 (MBC).
- 评估将患者报告的结果措施 (PROM) 整合到临床工作流程中的可行性和影响.
- 在复杂的儿科护理环境中收集优化MBC的见解.
主要方法:
- 在三个医院网站实施了MBC,服务于神经发育儿科患者群体.
- 患者报告的结果指标 (PROM) 是通过文献审查和利益相关方咨询来选择的.
- 一个逻辑模型指导评估,在基线和间隔收集数据;提供临床医师培训.
主要成果:
- 在2023年4月至2025年4月期间,381名参与者进入了该计划.
- 在基线,PROM完成率最高,并且随着时间的推移而下降.
- 较短的PROM显示完成率高于较长的PROM.
结论:
- 在复杂的儿科群体中成功实施MBC需要临床医生和家庭的早期和持续参与.
- 将MBC整合到护理流程中对于其有效性至关重要.
- MBC对于指导临床护理,治疗计划和评估复杂需求儿童的新疗法至关重要.
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