• 中国核心期刊数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

快速检索引用检索图表检索高级检索

中国医药导刊 ›› 2024, Vol. 26 ›› Issue (5): 511-517.

• 管理实践 • 上一篇    下一篇

日间手术患者报告结局评估工具研究进展

张潇12, 钟金岚12, 牛明明2, 徐蕾2, 李睿姝2, 王权2, 刘小南2*   

  1. 1.空军军医大学基础医学院,陕西 西安 710032;
    2.空军军医大学西京医院日间手术中心,陕西 西安 710032
  • 收稿日期:2024-04-01 修回日期:2024-07-05 出版日期:2024-05-28 发布日期:2024-05-28
  • 基金资助:

    软科学研究计划-一般项目(2022KRM184,陕科发〔2022〕6号);西京医院学科助推计划(XJZT18Z22)

Research Progress on Assessment Tools for Ambulatory Surgery Patient-Reported Outcomes

  1. 1.School of Basic Medicine Air Force Medical University Shannxi Xian 710032, China
    2.Ambulatory Surgery Center Xijing Hospital Air Force Medical University Shannxi Xian 710032, China
  • Received:2024-04-01 Revised:2024-07-05 Online:2024-05-28 Published:2024-05-28

摘要:

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。


关键词: 日间手术, 患者报告结局, 评估工具, 应用

Abstract:

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 toolsand to help doctors and nurses to carry out symptom management for day operation patients effectively evaluate patients' recovery quality improve patients' satisfaction and promote doctor-patient joint decision-making.


Key words: Ambulatory surgery , Patient-reported outcomes , Assessment tool , Apply

中图分类号: