在例行护理访问期间,假肢医生对共患病的查:一种随机对照临床试验,评估益处,可接受性和可行性
Jaclyn M Sions1,2, Samantha J Stauffer3,2,4, John R Horne4
1Department of Physical Therapy, University of Delaware, Newark, Delaware, USA megsions@udel.edu.
BMJ open
|February 27, 2026
概括
在例行检查期间由假肢医生进行并发症查对于下肢截肢的成年人来说是可行的和可以接受的. 虽然它没有提高整体满意度,但它提高了假肢师的反应能力,并鼓励寻求医疗保健.
科学领域:
- 截肢者护理服务
- 假肢康复治疗 假肢康复治疗
- 伴随性疾病的管理
背景情况:
- 截肢的成年人具有比一般人口更高的并发症率,导致较差的结果.
- 常规的假肢后续检查提供了一个综合健康评估的机会.
研究的目的:
- 评估结合性疾病查在标准假肢护理中整合的好处,可接受性和可行性.
- 为了测试标准护理加上并发症查 (SOC+) 提高患者满意度并减少假肢护理时间与单独标准护理 (SOC) 相比的假设.
主要方法:
- 一个随机对照试验,采用混合方法方法,涉及70名单边下肢截肢的成年人.
- 参与者接受了SOC或SOC+,其中包括查抑郁症,自杀念头,腰部疼痛,外围动脉疾病和外围神经病变.
- 假肢医生参加了一个重点小组,并在干预后3个月内跟踪医疗保健利用情况.
主要成果:
- 在SOC和SOC+组之间,总体患者满意度,假肢护理利用率或初次诊所长度方面没有发现显著差异.
- SOC+组的参与者报告说,假肢医生对担忧的反应更高.
- 假肢医生认为查有好处,查促使积极的医疗保健寻求行为.
结论:
- 在例行随访期间,假肢医生对伴随性疾病进行查,对于下肢截肢的成年人来说是可行的和可以接受的.
- 虽然没有影响整体满意度或护理持续时间,但干预措施增强了患者与医疗服务提供者的沟通,并鼓励积极的健康管理.
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