患者报告的物理治疗结果测量:综述

Waqar M. Naqvi, Arti Sahu, Sakshi P. Arora
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引用次数: 0

摘要

高质量的以患者为中心的医疗保健包括将患者的选择纳入治疗计划。患者参与度与生活质量(QoL)和满意度相对应,这可以通过在理疗实践中纳入患者报告的结果测量(PROM)来实现。PROM是从患者的角度评估健康结果并确定管理计划是否提高其生活质量的工具。常规实践中的PROM为临床医生跟踪患者症状、确定临床结果和促进协作决策提供了一种结构化的方式。在患者评估过程中,它有助于建立一致的框架,确认临床结果,并确定评估对所需治疗的有效性。PROM数据可以通过多种方式收集,包括面对面访谈、问卷调查和日记。PROM在研究中的使用既增加了研究过程,也增加了研究结果的有效性。将胎膜早破纳入理疗管理是一个正确了解患者生活质量轨迹的机会,并扩大共享决策中估计的胎膜早出的范围。尽管临床医生使用PROM有助于跟踪患者,指导治疗考虑,并为患者提供更集中的观点,但其用途仍不清楚,因为它将患者纳入了共同决策中。然而,建立一个以患者为中心、全面的治疗原型需要定期应用授权的PROM。将PROM纳入理疗实践可以促进对疾病的多维和以患者为中心的评估,确定未满足的需求,指导理疗师关注这些需求,并根据确定患者目标更好地为决策者提供信息。
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Patient-Reported outcome measures in physiotherapy: An overview
High-quality patient-centered health care involves incorporating patient choice in the treatment plan. Patient engagement corresponds with the quality of life (QoL) and satisfaction, which can be achieved by including patient-reported outcome measures (PROMs) in physiotherapy practice. PROMs are instruments to evaluate health outcomes from the perspective of the patient and to determine whether the management plan enhances their QoL. PROMs in regular practice offer a structured way for clinicians to track patient symptoms, determine clinical outcomes, and facilitate collaborative decision-making. During the patient assessment, it aids in establishing a consistent framework, confirming the clinical results, and ascertaining the validity of the evaluation to the desired treatment. PROM data can be collected in several ways, including in-person interviews, questionnaires, and diaries. The use of PROMs in research increases both the research process as well as the validity of its findings. Integrating PROMs into physiotherapy management is an opportunity to rightly understand the patient's QoL trajectory and broaden the range of PROMs estimated in shared decision-making. Although PROM administration by clinicians helps for tracking patients, for guiding treatment considerations, and for providing a more central viewpoint for patients, its usage remains unclear by including patients in shared decision-making. However, establishing a patient-centered, comprehensive prototype of treatment requires the regular application of authorized PROMs. Incorporation of PROMs in physiotherapy practice can facilitate a multidimensional and patient-centered evaluation of the disease, identify unfulfilled needs, direct physiotherapist attention to these needs, and better inform policymakers in the light of identifying patient goals.
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