{"id":34607,"date":"2024-11-26T16:59:51","date_gmt":"2024-11-26T16:59:51","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34607"},"modified":"2024-11-26T16:59:51","modified_gmt":"2024-11-26T16:59:51","slug":"a-mixed-methods-of-the-acceptability-and-implementation-potential-of-a-novel-shared-decision-making-tool-for-knee-osteoarthritis","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/a-mixed-methods-of-the-acceptability-and-implementation-potential-of-a-novel-shared-decision-making-tool-for-knee-osteoarthritis\/","title":{"rendered":"Nj\u00eb metod\u00eb e p\u00ebrzier e pranueshm\u00ebris\u00eb dhe potencialit t\u00eb zbatimit t\u00eb nj\u00eb mjeti t\u00eb ri t\u00eb vendimmarrjes s\u00eb p\u00ebrbashk\u00ebt p\u00ebr osteoartritin e gjurit."},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Seksioni me titull module-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34607\/#module-1\" class=\"anchor\"><span class=\"hidden\">Seksioni me titull module-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Nj\u00eb metod\u00eb e p\u00ebrzier e pranueshm\u00ebris\u00eb dhe potencialit t\u00eb zbatimit t\u00eb nj\u00eb mjeti t\u00eb ri t\u00eb vendimmarrjes s\u00eb p\u00ebrbashk\u00ebt p\u00ebr osteoartritin e gjurit.<\/h1>\n<h2><strong>Financimi:<\/strong><\/h2>\n<p>Financimi i Aft\u00ebsive K\u00ebrkimore t\u00eb BNSSG ICB.<\/p>\n<h2><strong>Cili \u00ebsht\u00eb problemi?<\/strong><\/h2>\n<p>Osteoartriti i gjurit \u00ebsht\u00eb nj\u00eb gjendje kronike q\u00eb mund t\u00eb shkaktoj\u00eb dhimbje t\u00eb forta dhe paaft\u00ebsi. \u00c7do vit, 10% e t\u00eb rriturve n\u00eb Mbret\u00ebrin\u00eb e Bashkuar k\u00ebrkojn\u00eb ndihm\u00eb p\u00ebr osteoartritin, me gati 100,000 pacient\u00eb q\u00eb marrin z\u00ebvend\u00ebsime t\u00eb gjurit p\u00ebr osteoartrit brenda NHS.<\/p>\n<p>Udh\u00ebzimet p\u00ebr trajtimin e osteoartritit rekomandojn\u00eb informacion, edukim, ushtrime, fizioterapi, humbje peshe dhe medikamente para operacionit t\u00eb z\u00ebvend\u00ebsimit t\u00eb gjurit. Megjithat\u00eb, ka shqet\u00ebsime se kirurgjia totale e z\u00ebvend\u00ebsimit t\u00eb gjurit (TKR) p\u00ebrdoret shum\u00eb, gj\u00eb q\u00eb d\u00ebshmohet nga referime t\u00eb pap\u00ebrshtatshme, pabarazi n\u00eb aksesin ndaj kirurgjis\u00eb dhe se p\u00ebrfshirja e trajtimeve jo-kirurgjikale m\u00eb t\u00eb rekomanduara (humbje peshe dhe ushtrime) \u00ebsht\u00eb m\u00eb e ul\u00ebt se normat e referimit p\u00ebr TKR. Provat tregojn\u00eb se mjek\u00ebt nuk kan\u00eb koh\u00eb p\u00ebr t\u00eb ofruar informacion t\u00eb azhurnuar mbi alternativat ndaj kirurgjis\u00eb, ose p\u00ebr t\u00eb adresuar vlerat dhe preferencat e pacient\u00ebve p\u00ebr trajtim.<\/p>\n<p>Vendimmarrja e P\u00ebrbashk\u00ebt (SDM) siguron q\u00eb pacient\u00ebt t\u00eb b\u00ebjn\u00eb zgjedhje m\u00eb t\u00eb informuara n\u00eb lidhje me kujdesin e tyre, nd\u00ebrkoh\u00eb q\u00eb pabarazit\u00eb zvog\u00eblohen dhe burimet e kujdesit sh\u00ebndet\u00ebsor optimizohen. Kjo \u00ebsht\u00eb shum\u00eb e r\u00ebnd\u00ebsishme p\u00ebr osteoartritin e gjurit, ku provat tregojn\u00eb se ka nj\u00eb munges\u00eb t\u00eb v\u00ebrtet\u00eb t\u00eb SDM-s\u00eb.<\/p>\n<h2><strong>Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/strong><\/h2>\n<p>Ndihma p\u00ebr Vendime t\u00eb P\u00ebrbashk\u00ebta, botimi i grafikut t\u00eb gjurit Torbay - BNSSG, \u00ebsht\u00eb zhvilluar p\u00ebr t\u00eb siguruar q\u00eb pacient\u00ebt t\u00eb ken\u00eb qasje n\u00eb trajtimet e duhura n\u00eb \u00e7do faz\u00eb t\u00eb procesit t\u00eb s\u00ebmundjes. Mjeti synon t\u00eb siguroj\u00eb q\u00eb pacient\u00ebt dhe mjek\u00ebt t\u00eb mb\u00ebshteten p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb zgjedhje m\u00eb t\u00eb informuar n\u00eb lidhje me opsionet e trajtimit dhe p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar planifikimin e kujdesit t\u00eb p\u00ebrqendruar te pacienti.<\/p>\n<p>Ky hulumtim synon t\u00eb p\u00ebrcaktoj\u00eb pranueshm\u00ebrin\u00eb e mjeteve nga p\u00ebrdoruesit; p\u00ebrshtatjen e tyre nga nj\u00eb kontekst i kujdesit sh\u00ebndet\u00ebsor n\u00eb nj\u00eb tjet\u00ebr dhe potencialin e tyre t\u00eb zbatimit brenda sistemeve aktuale lokale.<\/p>\n<h2><strong>Si do t\u00eb arrihet kjo?<\/strong><\/h2>\n<p>Ne do t\u00eb zhvillojm\u00eb intervista me pacient\u00eb dhe klinicist\u00eb p\u00ebr t\u00eb shqyrtuar pritjet e SDM-s\u00eb dhe pranueshm\u00ebrin\u00eb e mjetit ndihm\u00ebs p\u00ebr vendimmarrje; deri n\u00eb \u00e7far\u00eb mase \u00ebsht\u00eb p\u00ebrdorur si\u00e7 \u00ebsht\u00eb menduar, pengesat n\u00eb p\u00ebrdorim, faktor\u00ebt leht\u00ebsues dhe sugjerimet p\u00ebr p\u00ebrmir\u00ebsim t\u00eb m\u00ebtejsh\u00ebm, si dhe p\u00ebrvoj\u00ebn e procesit t\u00eb p\u00ebrbashk\u00ebt t\u00eb vendimmarrjes. Gjithashtu do t\u00eb k\u00ebrkojm\u00eb mendimet e klinicist\u00ebve n\u00ebse sistemi aktual mb\u00ebshtet p\u00ebrdorimin efektiv t\u00eb mjetit.<\/p>\n<p>Intervistat me komisioner\u00ebt e CCG-s\u00eb t\u00eb p\u00ebrfshir\u00eb n\u00eb zbatimin e Ndihm\u00ebs p\u00ebr Vendimin p\u00ebr Gjunj\u00ebt Avon synojn\u00eb t\u00eb kuptojn\u00eb perspektivat e tyre mbi miratimin, zbatimin dhe sfidat e saj.<\/p>\n<p>Gjetjet do t&#039;u jepen pal\u00ebve t\u00eb interesuara n\u00eb m\u00ebnyr\u00eb q\u00eb m\u00ebsimet e nxjerra nga studimi t\u00eb mund t\u00eb p\u00ebrdoren p\u00ebr t\u00eb p\u00ebrsosur mjetin n\u00ebse \u00ebsht\u00eb e nevojshme. Ne gjithashtu do t\u00eb krijojm\u00eb lidhje me Menaxhimin e Sh\u00ebndetit t\u00eb Popullsis\u00eb p\u00ebr t\u00eb p\u00ebrdorur t\u00eb dh\u00ebnat e t\u00eb gjjat\u00eb sistemit. Kjo \u00ebsht\u00eb thelb\u00ebsore p\u00ebr hulumtimet e ardhshme, p\u00ebr t\u00eb p\u00ebrcaktuar se \u00e7far\u00eb ndikimi ka mjeti ndihm\u00ebs p\u00ebr vendimmarrje n\u00eb aksesin n\u00eb sh\u00ebrbime dhe n\u00ebse futja e mjetit ndihm\u00ebs p\u00ebr vendimmarrje do t\u00eb rezultoj\u00eb n\u00eb ndonj\u00eb ndryshim n\u00eb p\u00ebrdorimin e sh\u00ebrbimeve. Kjo do t\u00eb ndihmonte p\u00ebr t\u00eb p\u00ebrcaktuar n\u00eb nj\u00eb studim t\u00eb ardhsh\u00ebm se si ofrohet mjeti n\u00eb cil\u00ebn pik\u00eb t\u00eb rrug\u00ebs MSK (kujdes par\u00ebsor, sekondar, zgjedhor) me k\u00eb (informacion mbi pacientin duke p\u00ebrfshir\u00eb mosh\u00ebn, seksin, etnin\u00eb, ashp\u00ebrsin\u00eb e s\u00ebmundjes, BMI-n\u00eb, s\u00ebmundjet bashk\u00ebshoq\u00ebruese dhe privimin social) dhe me cilat sh\u00ebrbime pacient\u00ebt vazhdojn\u00eb t\u00eb angazhohen dhe me \u00e7far\u00eb kostoje.<\/p>\n<h2><strong>Kush po e udh\u00ebheq hulumtimin?<\/strong><\/h2>\n<p>Dr. Andrew Moore, Lektor i Lart\u00eb n\u00eb K\u00ebrkimin e Sh\u00ebrbimit Sh\u00ebndet\u00ebsor Muskuloskeletal, Nj\u00ebsia e K\u00ebrkimit Muskuloskeletal, Shkolla Mjek\u00ebsore e Bristolit.<\/p>\n<h2>Informacion i m\u00ebtejsh\u00ebm<\/h2>\n<p><a href=\"https:\/\/www.bristol.ac.uk\/people\/person\/Andrew-Moore-0396b6da-d39d-41eb-9040-056c9063e121\/\" rel=\"noopener\">Rreth Dr. Andrew Moore<\/a><\/p>\n<p>P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t&#039;u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, ju lutemi t\u00eb kontaktoni\u00a0<a href=\"mailto:bnssg.research@nhs.net\" target=\"_blank\" rel=\"nofollow noopener\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>&nbsp;<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 A mixed methods of the acceptability and implementation potential of a novel Shared Decision-Making tool for Knee Osteoarthritis. Funding: BNSSG ICB Research Capability Funding\u00ad\u00ad. What is the problem? Osteoarthritis of the knee is a chronic condition that can cause severe pain and disability. Every year 10% of UK adults seek help for [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34607","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=34607"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34607\/revisions"}],"predecessor-version":[{"id":34609,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34607\/revisions\/34609"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=34607"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}