PDF(Pubmed)
Abstract：
OBJECTIVE: Despite a known risk of cellulitis recurrence, the management of the wider impact and risk factors has been neglected. The innovative National Cellulitis Improvement Programme (NCIP) addresses this by providing evidence-based and individualised care to improve patient reported outcomes and reduce the risk of recurrence. The aim of this paper is to examine the longer-term impact of cellulitis and to identify a suitable and clinically relevant Patient Reported Outcome Measure (PROM).
METHODS: A review of existing cellulitis-specific PROMs was undertaken, alongside literature detailing the patient-focused impact of cellulitis, to identify a suitable PROM for clinical use. A group of expert therapists and patient representatives (n = 14) shared their individual and collective experiences over a series of events to discuss and debate the impact of cellulitis and review available PROMs. CELLUPROM© is introduced with anonymised PROM data and case study information reported to establish the impact of CELLUPROM© within usual NCIP care.
RESULTS: No cellulitis-specific PROMs were identified. Literature focused on the signs and symptoms of an acute episode of cellulitis, with outcome measures primarily used to evidence the impact of an intervention. An enduring physical, social and emotional impact of cellulitis was identified in this study, providing the basis for the new cellulitis-specific PROM (CELLUPROM©), which has been implemented with good effect in clinical care.
CONCLUSIONS: This study has highlighted the lasting impact of cellulitis. Using CELLUPROM© within the risk-reduction NCIP has helped develop Value-Based Healthcare and support programme evaluation.
METHODS: A review of existing cellulitis-specific PROMs was undertaken, alongside literature detailing the patient-focused impact of cellulitis, to identify a suitable PROM for clinical use. A group of expert therapists and patient representatives (n = 14) shared their individual and collective experiences over a series of events to discuss and debate the impact of cellulitis and review available PROMs. CELLUPROM© is introduced with anonymised PROM data and case study information reported to establish the impact of CELLUPROM© within usual NCIP care.
RESULTS: No cellulitis-specific PROMs were identified. Literature focused on the signs and symptoms of an acute episode of cellulitis, with outcome measures primarily used to evidence the impact of an intervention. An enduring physical, social and emotional impact of cellulitis was identified in this study, providing the basis for the new cellulitis-specific PROM (CELLUPROM©), which has been implemented with good effect in clinical care.
CONCLUSIONS: This study has highlighted the lasting impact of cellulitis. Using CELLUPROM© within the risk-reduction NCIP has helped develop Value-Based Healthcare and support programme evaluation.
摘要：
目标：尽管已知有蜂窝织炎复发的风险，对更广泛的影响和风险因素的管理被忽略。创新的国家蜂窝织炎改善计划（NCIP）通过提供循证和个性化护理来解决这一问题，以改善患者报告的结果并降低复发风险。本文的目的是研究蜂窝织炎的长期影响，并确定合适且临床相关的患者报告结局指标（PROM）。
方法：对现有蜂窝织炎特异性PROM进行了综述，除了详细介绍蜂窝织炎以患者为中心的影响的文献，确定适合临床使用的胎膜早破。一组专家治疗师和患者代表（n=14）在一系列事件中分享了他们的个人和集体经验，以讨论和辩论蜂窝织炎的影响并回顾可用的PROM。引入了匿名的PROM数据和案例研究信息，以确定CELLUPROM在通常的NCIP护理中的影响。
结果：未发现蜂窝织炎特异性PROM。文献集中于蜂窝织炎急性发作的体征和症状，结果指标主要用于证明干预措施的影响。一个持久的身体，在这项研究中确定了蜂窝织炎的社会和情感影响，为新的蜂窝织炎特异性PROM（CELLUPROM©）提供基础，在临床护理中得到了较好的实施效果。
结论：本研究强调了蜂窝织炎的持续影响。在降低风险的NCIP中使用CELLUPROM有助于开发基于价值的医疗保健和支持计划评估。
方法：对现有蜂窝织炎特异性PROM进行了综述，除了详细介绍蜂窝织炎以患者为中心的影响的文献，确定适合临床使用的胎膜早破。一组专家治疗师和患者代表（n=14）在一系列事件中分享了他们的个人和集体经验，以讨论和辩论蜂窝织炎的影响并回顾可用的PROM。引入了匿名的PROM数据和案例研究信息，以确定CELLUPROM在通常的NCIP护理中的影响。
结果：未发现蜂窝织炎特异性PROM。文献集中于蜂窝织炎急性发作的体征和症状，结果指标主要用于证明干预措施的影响。一个持久的身体，在这项研究中确定了蜂窝织炎的社会和情感影响，为新的蜂窝织炎特异性PROM（CELLUPROM©）提供基础，在临床护理中得到了较好的实施效果。
结论：本研究强调了蜂窝织炎的持续影响。在降低风险的NCIP中使用CELLUPROM有助于开发基于价值的医疗保健和支持计划评估。
