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日间手术患者报告结局评估工具研究进展

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目的:综述现有日间手术患者报告结局(PROs)评估工具及其应用现状,旨在为PROs评估工具的推广应用及今后开展相关研究提供参考.方法:系统检索相关英文数据库,纳入日间手术PROs相关研究,由两名研究者独立进行文献筛选、资料提取.结果:共纳入14篇相关研究,涉及4个相关PROs量表,包括功能恢复指数(FRI)量表、恢复质量(QoR-9)评分量表、40项恢复质量(QoR-40)评分量表、15项恢复质量(QoR-15)评分量表.现有评估工具中QoR-15评分量表应用最为广泛,主要用于患者术后恢复质量的评估,具有良好的有效性和可接受度,在未来日间手术的评估中具有潜在优势.结论:目前,日间手术相关PROs评估工具相对较少,国内对于PROs的关注度不足,缺乏特异性的评估工具.未来应开发适合我国本土的日间手术PROs评估工具,进行多中心、大样本的研究来验证和推广,同时加强对医护人员的培训,将有助于PROs评估工具的有效推广和应用,帮助医护人员对日间手术患者进行症状管理,有效评估患者的恢复质量,提高患者满意度,促进医患共同决策.
Research Progress on Assessment Tools for Ambulatory Surgery Patient-Reported Outcomes
Objective:To systematically review the existing ambulatory surgery patient-reported outcomes(PROs)assessment tools and their application status,to provide references for the promotion and application of PROs assessment tools and related studies in the future.Methods:The relevant English databases were systematically retrieved,and the research literature related to day surgery PROs were included.Literature screening and data extraction were conducted independently by two researchers.Results:A total of 14 relevant studies were included,involving 4 relevant PROs scales,including Functional Recovery Index(FRI),Quality of recovery-9(QoR-9),and Quality of Recovery-40(QoR-40),Quality of Recovery-15(QoR-15).Among the existing assessment tools,QoR-15 scale is the most widely used,mainly for the evaluation of postoperative recovery quality of patients,which has good validity and acceptability,and has potential advantage in the evaluation of future ambulator surgery.Conclusion:At present,there are relatively few assessment tools for PROs related to ambulatory surgery,there is a lack of attention to PROs in China,and there is a lack of specific assessment tools.Therefore,in the future,PROs assessment tools for ambulatory surgery should be developed,and multi-center,large-sample studies should be conducted to verify and promote it.Meanwhile,strengthening the training of medical staff will help the effective promotion and application of PROs assessment tools,and to help doctors and nurses to carry out symptom management for day operation patients,effec-tively evaluate patients'recovery quality,improve patients'satisfaction,and promote doctor-patient joint decision-making.

Ambulatory surgeryPatient-reported outcomesAssessment toolApply

张潇、钟金岚、牛明明、徐蕾、李睿姝、王权、刘小南

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空军军医大学基础医学院,陕西 西安 710032

空军军医大学西京医院日间手术中心,陕西 西安 710032

日间手术 患者报告结局 评估工具 应用

软科学研究计划-一般项目软科学研究计划-一般项目西京医院学科助推计划

2022KRM184陕科发[2022]6号XJZT18Z22

2024

中国医药导刊
国家食品药品监督管理局信息中心

中国医药导刊

影响因子:1.408
ISSN:1009-0959
年,卷(期):2024.26(5)