■弹性压迫袜(ECS)疗法通常用于深静脉血栓形成(DVT)和慢性静脉疾病(CVD)的患者。提供ECS治疗是复杂的,研究表明,卫生保健专业人员之间缺乏实际指导和次优合作。我们的目标是在相关的医疗保健专业人员和患者中就ECS治疗的关键问题达成共识。
■在荷兰进行了三轮改良Delphi分析,其中56名医疗保健专业人员(内科医生,皮肤科医生,全科医生,急诊室护士,家庭护理护士,医疗用品供应商,和职业治疗师),并邀请了7名患者。该分析中包括的21个陈述是基于从先前进行的功能共振分析方法和现实主义评估中收集的信息。我们使用了7点李克特量表问题和75%的共识阈值。
■在邀请参加本研究的63人中,59人(94%)同意参与并回答第一轮问卷;其中52人是医疗保健专业人员,7人是患者(5例DVT和2例CVD)。三轮问卷的总回复率为91%。回合完成后,就21项声明中的19项达成了充分共识。对于是否需要对CVD患者进行随访,以及谁应负责确定ECS类型(定制或标准),未达成共识。
■我们在医疗保健专业人员和患者的跨学科小组中确定了19项关于ECS治疗决策和合作的共识驱动建议。这些建议构成了一致驱动的ECS治疗优化的基础,理想情况下,应将其纳入DVT和CVD患者ECS治疗的通用跨域方案中。
UNASSIGNED: Elastic compression stocking (ECS) therapy is commonly used in patients with deep venous thrombosis (DVT) and chronic venous disease (CVD). The provision of ECS therapy is complex, and studies indicate a lack of practical guidance and suboptimal collaboration among health care professionals. We aimed to reach
consensus on critical issues of ECS therapy among the involved health care professionals and patients.
UNASSIGNED: A three-round modified Delphi analysis was performed in the Netherlands in which 56 health care professionals (internists, dermatologists, general practitioners, emergency room nurses, home care nurses, medical stocking suppliers, and occupational therapists) and seven patients were invited. The 21 statements included in this analysis were based on information collected from a previously conducted Functional Resonance Analysis Method and Realist Evaluation. We used 7-point Likert scale questions and a 75% threshold for
consensus.
UNASSIGNED: Of the 63 persons invited for this study, 59 (94%) agreed to participate and responded in the first questionnaire round; of whom 52 were health care professionals and seven were patients (five DVT and two CVD). The overall response rate for the three questionnaire rounds was 91%. After completion of the rounds, full
consensus was achieved on 19 out of 21 statements. No
consensus was reached on the need for a follow-up appointment for CVD patients and who should be responsible to determine the ECS type (custom-made or standard).
UNASSIGNED: We identified 19 consensus-driven recommendations on treatment decisions and collaboration in ECS therapy among an interdisciplinary panel of health care professionals and patients. These recommendations form a basis for
consensus-driven optimization of ECS therapy and should ideally be incorporated in a general cross-domain protocol for ECS therapy in patients with DVT and CVD.