背景:患者报告的结果(PRO)可以定义为直接从患者获得的任何患者健康报告。PRO数据的常规收集已被证明为患者与医生的沟通提供了潜在的好处。与传统的PROM相比,电子形式的PRO措施(PROM)在从患者获得PRO方面可能更有益。然而,目前尚不清楚常规收集电子PRO数据是否可以为接受腹腔镜胆囊切除术(LC)的患者带来更好的结局.
目的:本研究旨在探讨患者和外科医生对电子PROM使用的观点。基于先前的研究,外科医生的技术技能和经验水平,长期的生活质量,患者参与决策,外科医生的沟通技巧,病房环境的清洁,和护理标准被认为是患者最重要的因素。
方法:这是一项混合方法的前瞻性研究,将收集定量(调查)和定性(访谈)数据。这项研究有两个组成部分。第一个涉及对在手术后48小时内接受选择性LC的患者(n=80)进行电子预调查。这项调查将探讨患者对手术的看法,医院经验,长期结果,以及使用PROMs的感知价值。这些患者将在1年后进行随访,并进行另一项调查。第二部分涉及相同调查的分布和完成与普通外科医生的结构化访谈(n=10)。调查将确定参与者的哪些PRO对外科医生最有用,访谈将集中于外科医生如何看待常规PRO收集。将使用一种方便的抽样方法。调查将通过Qualtrics分发,访谈将在MicrosoftTeams上完成。
结果:数据收集于2023年2月14日开始。截至2024年2月12日,80名招募的患者中有71名接受了预调查。对患者和普通外科医生的随访尚未开始。本研究预计完成日期为2025年4月。
结论:总体而言,这项研究将调查电子PRO收集为患者和普通外科医生提供价值的潜力。这种方法将确保以多方面的方式调查患者护理,为外科医生提供以患者为中心的护理指导。
■DERR1-10.2196/57344。
BACKGROUND: Patient-reported outcomes (PROs) can be defined as any report of a patient\'s health taken directly from the patient. Routine collection of PRO data has been shown to offer potential benefits to patient-doctor communication. Electronic forms of PRO measures (PROMs) could be more beneficial in comparison to traditional PROMs in obtaining PROs from patients. However, it is currently unclear whether the routine collection of electronic PRO data could result in better outcomes for patients undergoing laparoscopic cholecystectomy (LC).
OBJECTIVE: This study aims to explore the perspectives of patients and surgeons on the use of electronic PROMs. Based on prior research, technical skill and experience level of the surgeon, long-term quality of life, patient involvement in decision-making, communication skills of the surgeon, cleanliness of the ward environment, and standards of nursing care are identified to be the most important factors for the patients.
METHODS: This is a mixed methods prospective study that will collect both quantitative (survey) and qualitative (interview) data. The study has two components. The first involves the distribution of an electronic presurvey to patients who received elective LC within 48 hours of their surgery (n=80). This survey will explore the perspective of patients regarding the procedure, hospital experience, long-term outcomes, and the perceived value of using PROMs. These patients will then be followed up after 1 year and given another survey. The second component involves the distribution of the same survey and the completion of structured interviews with general surgeons (n=10). The survey will ascertain what PROs from the participants are most useful for the surgeons and the interviews will focus on how the surgeons view routine PRO collection. A convenience sampling approach will be used. Surveys will be distributed through Qualtrics and interviews will be completed on Microsoft Teams.
RESULTS: Data collection began on February 14, 2023. As of February 12, 2024, 71 of 80 recruited patients have been given the presurvey. The follow-up with the patients and the general surgeon components of the study have not begun. The expected completion date of this study is in April 2025.
CONCLUSIONS: Overall, this study will investigate the potential of electronic PRO collection to offer value for patients and general surgeons. This approach will ensure that patient care is investigated in a multifaceted way, offering patient-centric guidance to surgeons in their approach to care.
UNASSIGNED: DERR1-10.2196/57344.