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使用改良的MYMOP2工具进行针对性姑息治疗日间疗法干预可改善非恶性疾病患者的治疗效果。

Targeted palliative care day therapy interventions using modified MYMOP2 tool can improve outcomes for patients with non-malignant diseases.

作者信息

Monnery Daniel, Webb Esther, Richardson Lorna, Isaac Jane, Chapman Laura

机构信息

Registrar in Palliative Medicine, Clatterbridge Cancer Centre, Wirral, UK.

Healthcare Assistant, Marie Curie Hospice, Liverpool, UK.

出版信息

Int J Palliat Nurs. 2018 Feb 2;24(2):92-95. doi: 10.12968/ijpn.2018.24.2.92.

Abstract

BACKGROUND

There is a paucity of evidence supporting the benefits of palliative care day therapy services for patients with non-malignant diseases. Outcome measures in this setting are also lacking.

AIM

To evaluate the use of the modified Measure Yourself Medical Outcome Profile 2 (MYMOP2) tool in tailoring day therapy services toward the needs of patients with non-malignant conditions Method: A single system, 'before and after' design quality improvement study was conducted. Data were collected regarding outcome measures, re-referral rates and mortality.

RESULT

After the introduction of the modified MYMOP2 tool, there was an improvement in the mean outcome scores for patients with non-malignant disease. Re-referral rates for these patients dropped by 28% during the follow up period, with no change in mortality.

IMPLICATIONS FOR PRACTICE

These findings suggest that using the modified MYMOP2 tool to tailor and measure the outcome of holistic day therapy services results in a more sustained improvement for patients with non-malignant disease.

摘要

背景

缺乏证据支持姑息治疗日间治疗服务对非恶性疾病患者的益处。在这种情况下也缺乏结果测量指标。

目的

评估使用改良的自我测量医疗结果概况2(MYMOP2)工具来根据非恶性疾病患者的需求定制日间治疗服务。方法:进行了一项单系统、“前后”设计的质量改进研究。收集了关于结果测量指标、再次转诊率和死亡率的数据。

结果

引入改良的MYMOP2工具后,非恶性疾病患者的平均结果得分有所改善。在随访期间,这些患者的再次转诊率下降了28%,死亡率没有变化。

对实践的启示

这些发现表明,使用改良的MYMOP2工具来定制和测量整体日间治疗服务的结果,能使非恶性疾病患者获得更持续的改善。

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