Kyte D G, Calvert M, van der Wees P J, ten Hove R, Tolan S, Hill J C
School of Sport, Exercise & Rehabilitation, University of Birmingham, Birmingham, UK; Primary Care and Clinical Sciences, University of Birmingham, Birmingham, UK.
Primary Care and Clinical Sciences, University of Birmingham, Birmingham, UK.
Physiotherapy. 2015 Jun;101(2):119-25. doi: 10.1016/j.physio.2014.11.003. Epub 2014 Nov 28.
The use of patient-reported outcome measures (PROMs) is set to rise in physiotherapy. PROMs provide additional 'patient-centred' data which is unique in capturing the patient's own opinion on the impact of their disease or disorder, and its treatment, on their life. Thus, PROMs are increasingly used by clinicians to guide routine patient care, or for the purposes of audit, and are already firmly embedded in clinical research. This article seeks to summarise the key aspects of PROM use for physiotherapists, both in routine clinical practice and in the research setting, and highlights recent developments in the field. Generic and condition-specific PROMs are defined and examples of commonly used measures are provided. The selection of appropriate PROMs, and their effective use in the clinical and research settings is discussed. Finally, existing barriers to PROM use in practice are identified and recent physiotherapy PROM initiatives, led by the Royal Dutch Society for Physical Therapy are explored.
患者报告结局测量指标(PROMs)在物理治疗中的应用有望增加。PROMs提供了额外的“以患者为中心”的数据,这些数据在获取患者对其疾病或病症及其治疗对其生活影响的自身看法方面具有独特性。因此,临床医生越来越多地使用PROMs来指导常规患者护理或用于审核目的,并且已经牢固地融入临床研究中。本文旨在总结物理治疗师在常规临床实践和研究环境中使用PROMs的关键方面,并突出该领域的最新进展。定义了通用型和特定疾病的PROMs,并提供了常用测量指标的示例。讨论了选择合适的PROMs及其在临床和研究环境中的有效使用。最后,确定了PROMs在实践中使用的现有障碍,并探讨了由荷兰皇家物理治疗协会牵头的近期物理治疗PROM倡议。