Herberger K, Heyer K, Protz K, Mayer A, Dissemond J, Debus S, Wild T, Schmitt J, Augustin M
Competenzzentrum Versorgungsforschung in der Dermatologie (CVderm), Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20246, Hamburg, Deutschland.
Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Essen, Deutschland.
Hautarzt. 2017 Nov;68(11):896-911. doi: 10.1007/s00105-017-4012-6.
Standards in the assessment and documentation of disease processes are the basis of guideline-based care. For the treatment of chronic wounds, especially leg ulcers, no approved parameters are available.
Against this background, our aim was to develop standards for the documentation of leg ulcer in routine care. This article presents the recommendations for the classification and characteristics of the variables.
The development of the documentation standard was based on a systematic literature research and was performed in a Delphi-based consensus process. The national consensus process included meetings as well as web-based questionnaires. The Consensus Group is coordinated by the German Center for Health Services Research in Dermatology (CVderm).
The documentation standards and their variables for leg ulcer routine care were developed in seven meetings of the consensus group. The consensus group consists of 38 delegates of wound care societies, health insurances, wound networks and associations.
For each variable, recommended in routine care, a distinct response scheme (defined set of variable characteristics) was defined. As a next step, a structured implementation process is required, which was part of the resolutions of the consensus group.
疾病过程评估与记录的标准是循证护理的基础。对于慢性伤口,尤其是腿部溃疡的治疗,尚无获批的参数。
在此背景下,我们的目标是制定常规护理中腿部溃疡记录的标准。本文介绍了变量分类及特征的建议。
记录标准的制定基于系统的文献研究,并通过基于德尔菲法的共识过程进行。全国性的共识过程包括会议以及基于网络的问卷调查。共识小组由德国皮肤病健康服务研究中心(CVderm)协调。
共识小组召开了七次会议,制定了腿部溃疡常规护理的记录标准及其变量。共识小组由伤口护理协会、健康保险公司、伤口网络及协会的38名代表组成。
针对常规护理中推荐的每个变量,定义了一个独特的应答方案(变量特征的定义集)。下一步需要一个结构化的实施过程,这是共识小组决议的一部分。