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[患者报告结局测量在抑郁症、焦虑症和压力症诊断中的应用]

[Patient-reported outcome measures-use in diagnosing depression, anxiety, and stress].

作者信息

Brüggemann Petra, Böcking Benjamin, Steinmetzger Kurt, Winter Eva, Fischer Felix, Rose Matthias, Mazurek Birgit

机构信息

Tinnituszentrum der Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.

Medizinische Klinik mit Schwerpunkt Psychosomatik, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Deutschland.

出版信息

HNO. 2025 Mar;73(3):196-202. doi: 10.1007/s00106-024-01530-y. Epub 2024 Nov 25.

Abstract

Patient-reported outcome measures (PROMs) is an umbrella term for various self-report instruments used to assess subjective health-related impressions and treatment success from the patient's perspective. In psychosomatic medicine, PROMs are often used to record subjective symptoms, psychosocial distress, and changes in health status, particularly in patients with comorbid (affective) disorders and frequent contact with physicians, but also in preventive health care and to monitor the effectiveness of treatment. In otolaryngology (ENT), self-report questionnaires (PROMs) are used, among other things, to assess the impact of hearing, speech, swallowing, and breathing disorders on patients' quality of life. Such scientifically validated tools make it possible to better understand the needs and priorities of patients and to integrate them into clinician-patient communication and treatment to promote individual, patient-centered care. Three dimensions for the assessment of subjective health-related experiences (depression, anxiety, stress) with corresponding instruments for the German-speaking area for use in clinical and research settings are presented in more detail, specifically for otolaryngology.

摘要

患者报告结局测量(PROMs)是一个统称,用于指代各种自我报告工具,这些工具用于从患者的角度评估与健康相关的主观印象和治疗效果。在身心医学中,PROMs常用于记录主观症状、心理社会困扰以及健康状况的变化,特别是在患有共病(情感)障碍且经常就医的患者中,同时也用于预防保健以及监测治疗效果。在耳鼻喉科(ENT)中,自我报告问卷(PROMs)除其他用途外,还用于评估听力、言语、吞咽和呼吸障碍对患者生活质量的影响。这类经过科学验证的工具能够使我们更好地理解患者的需求和优先事项,并将其纳入医患沟通和治疗中,以促进个体化的、以患者为中心的护理。本文更详细地介绍了用于德语区临床和研究环境中评估与健康相关主观体验(抑郁、焦虑、压力)的三个维度以及相应工具,特别是针对耳鼻喉科的情况。

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