在非透析依赖的CKD护理中使用患者报告的结果测量方法的患者和医生的观点:一种定性研究
Dipal M Patel1, Aurosikha Panda2, Sani Fatima3
1Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Kidney medicine
|February 2, 2026
概括
患者报告结果措施 (PROM) 可以改善慢性病 (CKD) 护理,但实施面临障碍. 解决能力,机会和动机是将PROM纳入常规非透析依赖性CKD (NDD-CKD) 管理的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 非透析性慢性病 (NDD-CKD) 显著影响患者的身体和心理健康相关的生活质量 (QOL).
- 患者报告的结果指标 (PROM) 是评估NDD-CKD患者这些QOL方面的关键工具.
研究的目的:
- 探索NDD-CKD患者和科医生在将PROM整合到常规NDD-CKD护理中的观点.
- 确定影响PROM在临床实践中的使用障碍和促进因素.
主要方法:
- 半结构面试以理论领域框架和能力,机会,动机模型为指导.
- 从21名NDD-CKD患者和15名病学医生的成绩单进行混合的感应-演主题分析.
主要成果:
- 能力障碍包括团队知识有限,无法根据PROM数据采取行动并管理症状.
- 机会障碍涉及PROM可访问性和医生对数据审查的时间限制.
- 激励障碍源于医生在症状管理中的不清楚角色以及对PROM相关性和敏感性的担忧.
结论:
- 虽然患者和临床医生重视症状和QOL评估,但将PROM整合到NDD-CKD护理中面临着重要的能力,机会和动机障碍.
- 研究结果表明,需要有针对性的计划来支持在脏病学环境中有效实施PROM.
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