Mjet vendimmarrjeje klinike p\u00ebr frakturat vertebrale p\u00ebr grat\u00eb e moshuara me dhimbje shpine (Vfrac) - nj\u00eb studim fizibiliteti.<\/h1>\nFinancimi<\/h2>\n
Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes, K\u00ebrkime p\u00ebr P\u00ebrfitimin e Pacientit.<\/p>\n
Cili \u00ebsht\u00eb problemi?<\/strong><\/h2>\nOsteoporoza (kockat e dob\u00ebta) \u00ebsht\u00eb nj\u00eb nga gjendjet m\u00eb t\u00eb zakonshme muskuloskeletale tek grat\u00eb e moshuara. Frakturat vertebrale osteoporotike (thyerja e kockave n\u00eb shpin\u00eb p\u00ebr shkak t\u00eb osteoporoz\u00ebs) jan\u00eb ve\u00e7an\u00ebrisht t\u00eb r\u00ebnd\u00ebsishme sepse identifikojn\u00eb njer\u00ebzit me rrezik t\u00eb lart\u00eb p\u00ebr t\u00eb thyer m\u00eb shum\u00eb kocka.<\/p>\n
Megjithat\u00eb, m\u00eb pak se nj\u00eb e treta e njer\u00ebzve me fraktura vertebrale diagnostikohen dhe trajtohen sakt\u00eb. Arsyeja kryesore p\u00ebr k\u00ebt\u00eb d\u00ebshtim \u00ebsht\u00eb v\u00ebshtir\u00ebsia p\u00ebr t\u00eb kuptuar se kush duhet t\u00eb b\u00ebj\u00eb radiografi t\u00eb shtyll\u00ebs kurrizore.<\/p>\n
Mjeti Vfrac \u00ebsht\u00eb nj\u00eb pyet\u00ebsor i thjesht\u00eb i zhvilluar me kujdes nga k\u00ebrkime q\u00eb p\u00ebrfshijn\u00eb gra me dhe pa fraktura vertebrale osteoporotike. Vfrac \u00ebsht\u00eb p\u00ebr profesionist\u00ebt e kujdesit sh\u00ebndet\u00ebsor n\u00eb praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm p\u00ebr t'u plot\u00ebsuar nga grat\u00eb mbi 65 vje\u00e7 me dhimbje shpine.<\/p>\n
Rezultati i Vfrac tregon n\u00ebse ata duhet t\u00eb b\u00ebjn\u00eb apo jo nj\u00eb radiografi t\u00eb shtyll\u00ebs kurrizore.<\/p>\n
Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/strong><\/h2>\nVfrac nuk \u00ebsht\u00eb testuar kurr\u00eb n\u00eb nj\u00eb situat\u00eb t\u00eb bot\u00ebs reale p\u00ebr t\u00eb zbuluar n\u00ebse funksionon dhe ka t\u00eb ngjar\u00eb t\u00eb jet\u00eb me kosto efektive p\u00ebr NHS-n\u00eb. Ky testim n\u00eb bot\u00ebn reale do t\u00eb jet\u00eb nj\u00eb studim i madh q\u00eb do t\u00eb p\u00ebrfshij\u00eb shum\u00eb praktika t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm dhe do t\u00eb shqyrtoj\u00eb n\u00ebse Vfrac p\u00ebrmir\u00ebson trajtimin e t\u00eb moshuarve me osteoporoz\u00eb.<\/p>\n
P\u00ebrpara se t\u00eb mund ta hartojm\u00eb k\u00ebt\u00eb studim, na duhen informacione p\u00ebr t\u00eb planifikuar:<\/p>\n
\n- Madh\u00ebsia dhe procesi i studimit, bazuar n\u00eb informacionin q\u00eb p\u00ebrfshin numrin e grave q\u00eb vizitojn\u00eb mjekun e tyre t\u00eb p\u00ebrgjithsh\u00ebm me dhimbje shpine, dhe koh\u00ebn mesatare q\u00eb duhet q\u00eb rezultatet e rrezeve X t\u00eb vijn\u00eb te mjeku i p\u00ebrgjithsh\u00ebm.<\/li>\n
- K\u00ebrkesat e IT-s\u00eb, bazuar n\u00eb at\u00eb q\u00eb p\u00ebrdorin sisteme t\u00eb ndryshme t\u00eb IT-s\u00eb praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm.<\/li>\n
- Si p\u00ebrdoret Vfrac, bazuar n\u00eb at\u00eb se si profesionist\u00ebt e kujdesit sh\u00ebndet\u00ebsor vizitojn\u00eb t\u00eb moshuarit me dhimbje shpine n\u00eb kujdesin par\u00ebsor.<\/li>\n
- N\u00ebse duhet ta ndryshojm\u00eb mjetin bazuar n\u00eb kuptimin e pik\u00ebpamjeve dhe p\u00ebrvojave t\u00eb pacient\u00ebve dhe profesionist\u00ebve t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb p\u00ebrdorimin e Vfrac.<\/li>\n
- N\u00ebse mund ta p\u00ebrdorim Vfrac n\u00ebp\u00ebrmjet telefonit (konsultim n\u00eb distanc\u00eb).<\/li>\n<\/ol>\n
Si do t\u00eb arrihet kjo?<\/strong><\/h2>\nNe do t\u00eb:<\/p>\n
(A) P\u00ebrdorni nj\u00eb baz\u00eb t\u00eb dh\u00ebnash q\u00eb mbledh t\u00eb dh\u00ebna t\u00eb pacient\u00ebve nga praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar p\u00ebr t\u00eb llogaritur madh\u00ebsin\u00eb dhe dizajnin e studimit t\u00eb madh.<\/p>\n
(B) K\u00ebrkojuni gjasht\u00eb praktikave t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb p\u00ebrfshihen n\u00eb k\u00ebt\u00eb studim dhe gjysma e tyre t\u00eb p\u00ebrdorin Vfrac p\u00ebr 12 muaj. Kjo do t\u00eb na ndihmoj\u00eb t\u00eb kuptojm\u00eb k\u00ebrkesat e IT-s\u00eb. Do t'u k\u00ebrkojm\u00eb pacient\u00ebve dhe profesionist\u00ebve t\u00eb kujdesit sh\u00ebndet\u00ebsor pik\u00ebpamjet e tyre p\u00ebr Vfrac dhe do t\u00eb identifikojm\u00eb faktor\u00ebt q\u00eb e b\u00ebjn\u00eb m\u00eb t\u00eb leht\u00eb ose m\u00eb t\u00eb v\u00ebshtir\u00eb p\u00ebrdorimin e tij. Do ta testojm\u00eb ball\u00eb p\u00ebr ball\u00eb dhe n\u00ebp\u00ebrmjet telefonit\/videos.<\/p>\n
(C) B\u00ebni nj\u00eb anket\u00eb mbar\u00ebkomb\u00ebtare t\u00eb praktikave t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm p\u00ebr t\u00eb p\u00ebrshkruar se cili lloj profesionist\u00ebsh t\u00eb kujdesit sh\u00ebndet\u00ebsor vizitojn\u00eb t\u00eb moshuarit me dhimbje shpine.<\/p>\n
Pacient\u00ebt dhe publiku kan\u00eb qen\u00eb t\u00eb p\u00ebrfshir\u00eb gjat\u00eb gjith\u00eb planifikimit dhe zbatimit t\u00eb projekteve k\u00ebrkimore q\u00eb \u00e7uan n\u00eb Vfrac. Dy persona me fraktura vertebrale osteoporotike kan\u00eb r\u00ebn\u00eb dakord t\u00eb vazhdojn\u00eb p\u00ebrfshirjen - ata do t\u00eb jen\u00eb n\u00eb komitetin drejtues t\u00eb k\u00ebtij propozimi. Partneriteti yn\u00eb i P\u00ebrvoj\u00ebs s\u00eb Pacientit n\u00eb K\u00ebrkim, i vler\u00ebsuar me \u00e7mime, ndihmoi n\u00eb shkrimin e k\u00ebtij rasti p\u00ebr mb\u00ebshtetje.<\/p>\n
Kush po e udh\u00ebheq hulumtimin?<\/strong><\/h2>\nProfesoresha Emma Clark, Profesoreshe e Epidemiologjis\u00eb Klinike Muskuloskeletale, Shkolla Mjek\u00ebsore e Bristolit, Universiteti i Bristolit.<\/p>\n
Informacione t\u00eb m\u00ebtejshme:<\/h2>\n
Vfrac nuk \u00ebsht\u00eb testuar kurr\u00eb n\u00eb nj\u00eb situat\u00eb t\u00eb bot\u00ebs reale p\u00ebr t\u00eb zbuluar n\u00ebse funksionon dhe ka t\u00eb ngjar\u00eb t\u00eb jet\u00eb me kosto efektive p\u00ebr NHS-n\u00eb. Ky testim n\u00eb bot\u00ebn reale do t\u00eb jet\u00eb nj\u00eb studim i madh q\u00eb do t\u00eb p\u00ebrfshij\u00eb shum\u00eb praktika t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm dhe do t\u00eb shqyrtoj\u00eb n\u00ebse Vfrac p\u00ebrmir\u00ebson trajtimin e t\u00eb moshuarve me osteoporoz\u00eb.<\/p>\n
P\u00ebrpara se t\u00eb mund ta hartojm\u00eb k\u00ebt\u00eb studim, na duhen informacione p\u00ebr t\u00eb planifikuar:<\/p>\n
- \n
- Madh\u00ebsia dhe procesi i studimit, bazuar n\u00eb informacionin q\u00eb p\u00ebrfshin numrin e grave q\u00eb vizitojn\u00eb mjekun e tyre t\u00eb p\u00ebrgjithsh\u00ebm me dhimbje shpine, dhe koh\u00ebn mesatare q\u00eb duhet q\u00eb rezultatet e rrezeve X t\u00eb vijn\u00eb te mjeku i p\u00ebrgjithsh\u00ebm.<\/li>\n
- K\u00ebrkesat e IT-s\u00eb, bazuar n\u00eb at\u00eb q\u00eb p\u00ebrdorin sisteme t\u00eb ndryshme t\u00eb IT-s\u00eb praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm.<\/li>\n
- Si p\u00ebrdoret Vfrac, bazuar n\u00eb at\u00eb se si profesionist\u00ebt e kujdesit sh\u00ebndet\u00ebsor vizitojn\u00eb t\u00eb moshuarit me dhimbje shpine n\u00eb kujdesin par\u00ebsor.<\/li>\n
- N\u00ebse duhet ta ndryshojm\u00eb mjetin bazuar n\u00eb kuptimin e pik\u00ebpamjeve dhe p\u00ebrvojave t\u00eb pacient\u00ebve dhe profesionist\u00ebve t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb p\u00ebrdorimin e Vfrac.<\/li>\n
- N\u00ebse mund ta p\u00ebrdorim Vfrac n\u00ebp\u00ebrmjet telefonit (konsultim n\u00eb distanc\u00eb).<\/li>\n<\/ol>\n
Si do t\u00eb arrihet kjo?<\/strong><\/h2>\n
Ne do t\u00eb:<\/p>\n
(A) P\u00ebrdorni nj\u00eb baz\u00eb t\u00eb dh\u00ebnash q\u00eb mbledh t\u00eb dh\u00ebna t\u00eb pacient\u00ebve nga praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar p\u00ebr t\u00eb llogaritur madh\u00ebsin\u00eb dhe dizajnin e studimit t\u00eb madh.<\/p>\n
(B) K\u00ebrkojuni gjasht\u00eb praktikave t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb p\u00ebrfshihen n\u00eb k\u00ebt\u00eb studim dhe gjysma e tyre t\u00eb p\u00ebrdorin Vfrac p\u00ebr 12 muaj. Kjo do t\u00eb na ndihmoj\u00eb t\u00eb kuptojm\u00eb k\u00ebrkesat e IT-s\u00eb. Do t'u k\u00ebrkojm\u00eb pacient\u00ebve dhe profesionist\u00ebve t\u00eb kujdesit sh\u00ebndet\u00ebsor pik\u00ebpamjet e tyre p\u00ebr Vfrac dhe do t\u00eb identifikojm\u00eb faktor\u00ebt q\u00eb e b\u00ebjn\u00eb m\u00eb t\u00eb leht\u00eb ose m\u00eb t\u00eb v\u00ebshtir\u00eb p\u00ebrdorimin e tij. Do ta testojm\u00eb ball\u00eb p\u00ebr ball\u00eb dhe n\u00ebp\u00ebrmjet telefonit\/videos.<\/p>\n
(C) B\u00ebni nj\u00eb anket\u00eb mbar\u00ebkomb\u00ebtare t\u00eb praktikave t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm p\u00ebr t\u00eb p\u00ebrshkruar se cili lloj profesionist\u00ebsh t\u00eb kujdesit sh\u00ebndet\u00ebsor vizitojn\u00eb t\u00eb moshuarit me dhimbje shpine.<\/p>\n
Pacient\u00ebt dhe publiku kan\u00eb qen\u00eb t\u00eb p\u00ebrfshir\u00eb gjat\u00eb gjith\u00eb planifikimit dhe zbatimit t\u00eb projekteve k\u00ebrkimore q\u00eb \u00e7uan n\u00eb Vfrac. Dy persona me fraktura vertebrale osteoporotike kan\u00eb r\u00ebn\u00eb dakord t\u00eb vazhdojn\u00eb p\u00ebrfshirjen - ata do t\u00eb jen\u00eb n\u00eb komitetin drejtues t\u00eb k\u00ebtij propozimi. Partneriteti yn\u00eb i P\u00ebrvoj\u00ebs s\u00eb Pacientit n\u00eb K\u00ebrkim, i vler\u00ebsuar me \u00e7mime, ndihmoi n\u00eb shkrimin e k\u00ebtij rasti p\u00ebr mb\u00ebshtetje.<\/p>\n
Kush po e udh\u00ebheq hulumtimin?<\/strong><\/h2>\n
Profesoresha Emma Clark, Profesoreshe e Epidemiologjis\u00eb Klinike Muskuloskeletale, Shkolla Mjek\u00ebsore e Bristolit, Universiteti i Bristolit.<\/p>\n
Informacione t\u00eb m\u00ebtejshme:<\/h2>\n