社区淋巴水肿指南衍生质量指标的制定与应用。
Development and use of guideline-derived quality indicators for community lymphoedema.
机构信息
CVderm - German Center for Health Services Research in Dermatology, University Clinics of Hamburg, Germany.
出版信息
J Eur Acad Dermatol Venereol. 2013 Feb;27(2):227-34. doi: 10.1111/j.1468-3083.2012.04452.x. Epub 2012 Feb 20.
BACKGROUND
Treatment of lymphoedema is complex and needs specific skills. There are no standards for the evaluation of quality of care.
OBJECTIVE
Development and application of indicators for the measurement of quality of care in lymphoedema.
METHODS
In a three-step process including a national Delphi expert consensus, quality indicators were derived from national and international guidelines. In a cross-sectional study involving a large spectrum of care providers, the quality of lymphoedema care in the community was assessed by transforming the indicators to one unweighted quality index (QI).
RESULTS
A total of 12 quality indicators were identified and applied to n = 348 patients with lymphoedema and lipolymphoedema of any origin in the metropolitan area of Hamburg (90.8% female, mean age 57, SD 14.5 years). On average, 55% of the quality indicators were met, and 64.8% of the patients were satisfied with lymphoedema care. There was a significant correlation between QI and satisfaction.
CONCLUSIONS
The quality indicators and the QI are feasible and valid for the evaluation of quality of care. They can support optimizing lymphoedema care.
背景
淋巴水肿的治疗较为复杂，需要特定的技能。目前还没有针对护理质量评估的标准。
目的
制定和应用淋巴水肿护理质量的衡量指标。
方法
通过三步骤流程（包括全国性 Delphi 专家共识），从国家和国际指南中提取质量指标。通过一项涉及多种护理提供者的横断面研究，将指标转化为一个无权重的质量指数（QI），从而评估社区中的淋巴水肿护理质量。
结果
共确定了 12 项质量指标，并将其应用于汉堡大都市地区有任何病因的淋巴水肿和脂肪淋巴水肿患者（n = 348；女性占 90.8%，平均年龄 57 岁，标准差 14.5 岁）。平均而言，55%的质量指标得到了满足，64.8%的患者对淋巴水肿护理感到满意。QI 与满意度之间存在显著相关性。
结论
质量指标和 QI 可用于评估护理质量，具有可行性和有效性。它们可以支持优化淋巴水肿护理。
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