综合个性化电子健康计划的过程评估,经过全膝关节整形术和单膝关节整形术-多中心ACTIVE随机对照试验的结果
A Carlien Straat1,2,3, P Paul F M Kuijer1,2,3,4, Jelle J de Jongh1
1Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, the Netherlands.
概括
在ACTIVE试验试验.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 膝关节整形术患者往往缺乏指导,无法在手术后恢复日常活动.
- 在ACTIVE试验中,研究了个性化的综合护理计划,以改善恢复和恢复日常活动.
- 过程评估是了解干预实施和患者体验的重要组成部分.
研究的目的:
- 评估ACTIVE干预措施对工作年龄的膝关节关节整形术患者的有效性.
- 评估干预是否按预期进行,并探索患者的经验和态度.
- 确定影响干预在实践中的发展因素,以实现未来的改进.
主要方法:
- 与多中心随机对照ACTIVE试验一起进行了过程评估.
- 数据收集包括问卷,研究数据库,电子健康计划日志和患者访谈.
- 分析遵循林南和斯泰克勒的框架,评估到达,输送/接收剂量和患者的态度.
主要成果:
- 积极的干预按计划进行,患者坚持高水平 (登录率99%).
- 患者发现干预是支持和激励的,特别是活动追踪器 (平均得分7.8-7.9/10).
- 患有并发症或非典型康复的患者认为建议没有完全满足他们的需求.
结论:
- 积极的干预已经准备好实施膝关节关节整形手术患者的典型恢复.
- 干预措施是按照预期进行和利用的,证明了可行性.
- 建议提供更大的灵活性,以适应经历非典型恢复轨迹的患者.
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