创伤性脑损伤儿童康复的护理质量指标。
Quality of care indicators for the rehabilitation of children with traumatic brain injury.
机构信息
Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA 98104, USA.
出版信息
Arch Phys Med Rehabil. 2012 Mar;93(3):381-5.e9. doi: 10.1016/j.apmr.2011.08.015. Epub 2012 Jan 26.
Abstract
OBJECTIVE
To develop measurement tools for assessing compliance with identifiable processes of inpatient care for children with traumatic brain injury (TBI) that are reliable, valid, and amenable to implementation.
DESIGN
Literature review and expert panel using the RAND/UCLA Appropriateness Method and a Delphi technique.
SETTING
Not applicable.
PARTICIPANTS
Children with TBI.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURE
Quality of care indicators.
RESULTS
A total of 119 indicators were developed across the domains of general management; family-centered care; cognitive-communication, speech, language, and swallowing impairments; gross and fine motor skill impairments; neuropsychologic, social, and behavioral impairments; school reentry; and community integration. There was a high degree of agreement on these indicators as valid and feasible quality measures for children with TBI.
CONCLUSIONS
These indicators are an important step toward building a better base of evidence about the effectiveness and efficiency of the components of acute inpatient rehabilitation for pediatric patients with TBI.
摘要
目的
开发用于评估儿童创伤性脑损伤（TBI）住院治疗过程依从性的测量工具，这些工具应具有可靠性、有效性，并易于实施。
设计
文献回顾和专家小组使用 RAND/UCLA 适宜性方法和 Delphi 技术。
设置
不适用。
参与者
TBI 患儿。
干预措施
不适用。
主要观察指标
护理质量指标。
结果
在一般管理、以家庭为中心的护理、认知-沟通、言语、语言和吞咽障碍、粗大和精细运动障碍、神经心理、社会和行为障碍、重返学校和社区融合等领域共制定了 119 项指标。专家小组高度一致认为这些指标是评估 TBI 患儿护理质量的有效且可行的质量指标。
结论
这些指标是朝着为儿科 TBI 患者急性住院康复治疗的各个组成部分的有效性和效率建立更好的证据基础迈出的重要一步。
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