Hamlet C, Rumsey N, Williamson H, Johnson K, Nduka C
Centre for Appearance Research, Department of Health & Social Sciences, Faculty of Health & Applied Sciences, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK.
Centre for Appearance Research, Department of Health & Social Sciences, Faculty of Health & Applied Sciences, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK.
J Plast Reconstr Aesthet Surg. 2018 Dec;71(12):1777-1784. doi: 10.1016/j.bjps.2018.07.037. Epub 2018 Sep 1.
Despite the potential negative impact of facial palsy, major gaps in understanding persist surrounding the treatment and care of those affected. This collaborative three-round Delphi process aimed to identify priorities for future facial palsy research, from the perspective of clinicians, researchers, patients and carers. It also determined whether the research priorities of patients and carers aligned with those of health professionals and researchers. In Round 1, participants (n = 85) were asked to generate research questions by focus groups or an online or postal survey. In Rounds 2 (n = 72) and 3 (n = 78), participants were asked to rate the priorities identified on a 5-point ordinal scale. Thirty-six questions reached the definition of 'high priority' consensus. Seven of each groups' top ten research priorities were shared. Prioritised questions included the provision and pathways of care, the psychosocial impact of living with facial palsy and the effective management of side effects. Establishing the research priorities in the field of facial palsy is a significant first step in ensuring that the future research agenda is focussed on topics that are considered important by both patients and health professionals.
尽管面瘫可能产生负面影响,但在面瘫患者的治疗和护理方面,仍存在重大的认知差距。这个三轮协作式德尔菲法旨在从临床医生、研究人员、患者及护理人员的角度,确定未来面瘫研究的重点。它还确定了患者及护理人员的研究重点是否与卫生专业人员和研究人员的一致。在第一轮中,参与者(n = 85)被要求通过焦点小组、在线或邮寄调查来提出研究问题。在第二轮(n = 72)和第三轮(n = 78)中,参与者被要求根据5分制的序数尺度对确定的重点进行评分。36个问题达成了“高度优先”的共识定义。每个组的十大研究重点中有七个是相同的。优先问题包括护理的提供和途径、面瘫患者生活的心理社会影响以及副作用的有效管理。确定面瘫领域的研究重点是确保未来研究议程聚焦于患者和卫生专业人员都认为重要的主题的重要第一步。