Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus, Denmark.
Danish Center for Health Services Research, Aalborg University Hospital and Aalborg University, Aalborg, Denmark.
Thromb Res. 2024 Oct;242:109133. doi: 10.1016/j.thromres.2024.109133. Epub 2024 Aug 24.
Pulmonary embolism may have both physical and psychological consequences for the affected person. Guidelines recommend structured follow-up care, yet this is still not widely practised. Therefore, a national research project was initiated in Denmark in 2021, with the aim of developing, testing, implementing, and evaluating a structured post-pulmonary embolism follow-up care model, 'Attend-PE'. The objective of this feasibility study was to examine the fidelity, acceptability, and appropriateness of the Attend-PE model in a Danish hospital setting.
This feasibility study was conducted in two Danish hospitals, using a prospective study design with six months' follow-up. The fidelity, acceptability, and appropriateness of the Attend-PE model's components were evaluated using surveys, registrations sheets, and interviews with two physicians, three nurses, and 29 patients. Qualitative data were analysed using a deductive content analysis, while quantitative data were analysed using descriptive statistics.
Fidelity with the Attend-PE model was good, with a high participation rate of patients in all components of the model. Acceptability was likewise good, as both patients and health care professionals expressed a high level of satisfaction with the model. The health care professionals considered the model to be relevant and suitable in a Danish hospital setting, confirming appropriateness of the model.
This study showed that the Attend-PE model for patients with pulmonary embolism is feasible and acceptable in a Danish hospital setting.
肺栓塞可能会给患者带来身体和心理两方面的后果。指南建议进行结构化的随访护理,但这一做法尚未得到广泛实施。因此,丹麦于 2021 年启动了一项国家研究项目,旨在开发、测试、实施和评估一种结构化的肺栓塞后随访护理模式,即“Attend-PE”。本可行性研究的目的是在丹麦医院环境中检验 Attend-PE 模型的忠实度、可接受性和适宜性。
本可行性研究在丹麦的两家医院进行,采用前瞻性研究设计,随访时间为 6 个月。通过对两位医生、三位护士和 29 名患者进行问卷调查、登记表格和访谈,评估 Attend-PE 模型的各个组成部分的忠实度、可接受性和适宜性。使用演绎内容分析法对定性数据进行分析,同时使用描述性统计对定量数据进行分析。
Attend-PE 模型的忠实度良好,患者对模型的所有组成部分的参与率均较高。可接受性也较好,患者和医护人员均对该模型表示高度满意。医护人员认为该模型在丹麦医院环境中具有相关性和适宜性,证实了模型的适宜性。
本研究表明,Attend-PE 模型适用于丹麦医院环境中肺栓塞患者,具有可行性和可接受性。