A matter of perspective - Objective versus subjective outcomes in the assessment of quality of recovery
A matter of perspective - Objective versus subjective outcomes in the assessment of quality of recovery
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DOI：
10.1016/j.bpa.2018.02.003
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发表时间：
2018-09-01
影响因子：
4.8
通讯作者：
Royse, Colin
中科院分区：
文献类型：
--
作者：
Bowyer, Andrea;Royse, Colin
目前的术后恢复评估存在二分法，保持客观性，同时提供相关性，以病人为中心的护理。客观和主观的措施都用于现代恢复评估，最好被视为补充。在机构和提供者层面，绩效指标被用作恢复质量的替代指标，但前提是这些指标是在临床背景下评估的。患者报告的结局优先考虑患者对症状和护理的看法，这是评估时最重要的方面，但受到其对反应变化和回忆偏倚的敏感性的限制。理想情况下，使用客观指标与临床复杂性指标以及患者报告的结局并行评估恢复质量。(C)2018爱思唯尔有限公司版权所有。
Current post-operative recovery assessment exists as a dichotomy, maintaining objectivity whilst providing relevance to patient-centred care. Both objective and subjective measures are utilised in modern recovery assessment and are best viewed as complimentary. At institutional and provider levels, performance indicators are utilised as surrogates for quality of recovery but only if these indicators are assessed in the clinical context from which they are derived. Patient-reported outcomes prioritise the patient's perspective of symptoms and care, which are the most important aspects at the time of assessment but are limited by their susceptibility to response shift and recall bias. Ideally, quality of recovery is assessed using objective measures in concert with measures of clinical complexity and in parallel with patient-reported outcomes. (C) 2018 Elsevier Ltd. All rights reserved.