Journal of hand therapy : official journal of the American Society of Hand Therapists · 2014
Patient-centered care and distal radius fracture outcomes: a prospective cohort study analysis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Constand Marissa K, MacDermid Joy C, Law Mary, Dal Bello-Haas Vanina
Аннотация
STUDY DESIGN: Prospective cohort.
INTRODUCTION: Effects of patient-centered care on distal radius fracture recovery lacks evidence.
PURPOSE OF THE STUDY: To understand from the perspective of a patient with a distal radius fracture: if the Patient Perception of Patient-Centeredness Questionnaire (PPPC) subscales apply to distal radius fracture populations; the strongest and weakest areas of patient-centered care; changes in patient perceptions of patient-centeredness during recovery; and, correlations between aspects of patient-centered care and patient reported pain and disability.
METHODS: Patients with distal radius fractures (n = 129; mean age = 54.03, SD = 14.63) completed the Patient Rated Wrist Evaluation (PRWE) and PPPC, at baseline (less than 10 days post-fracture) and at three months post-injury. Outcome measure responses were factor analyzed and tested for correlations.
RESULTS: Factors identified were titled Clinician-Patient Dialogue, representing communication components of patient-centered care, and Clinician-Patient Alliance, representing partnership components of patient-centered care. Small significant correlations (r = 0.22) between PRWE and PPPC responses were observed with Clinician-Patient Alliance more correlated at baseline and Clinician-Patient Dialogue at follow-up.
DISCUSSION: Important aspects of the patient-clinician dynamic were identified.
CONCLUSIONS: Communication between clinician and patient was perceived most favorably at baseline; and partnership improved by three months.
LEVEL OF EVIDENCE: 1b.
INTRODUCTION: Effects of patient-centered care on distal radius fracture recovery lacks evidence.
PURPOSE OF THE STUDY: To understand from the perspective of a patient with a distal radius fracture: if the Patient Perception of Patient-Centeredness Questionnaire (PPPC) subscales apply to distal radius fracture populations; the strongest and weakest areas of patient-centered care; changes in patient perceptions of patient-centeredness during recovery; and, correlations between aspects of patient-centered care and patient reported pain and disability.
METHODS: Patients with distal radius fractures (n = 129; mean age = 54.03, SD = 14.63) completed the Patient Rated Wrist Evaluation (PRWE) and PPPC, at baseline (less than 10 days post-fracture) and at three months post-injury. Outcome measure responses were factor analyzed and tested for correlations.
RESULTS: Factors identified were titled Clinician-Patient Dialogue, representing communication components of patient-centered care, and Clinician-Patient Alliance, representing partnership components of patient-centered care. Small significant correlations (r = 0.22) between PRWE and PPPC responses were observed with Clinician-Patient Alliance more correlated at baseline and Clinician-Patient Dialogue at follow-up.
DISCUSSION: Important aspects of the patient-clinician dynamic were identified.
CONCLUSIONS: Communication between clinician and patient was perceived most favorably at baseline; and partnership improved by three months.
LEVEL OF EVIDENCE: 1b.