{"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\/tr\/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":"Diz osteoartriti i\u00e7in yeni bir Ortak Karar Verme arac\u0131n\u0131n kabul edilebilirli\u011fi ve uygulama potansiyeline y\u00f6nelik karma y\u00f6ntemli bir \u00e7al\u0131\u015fma."},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Diz osteoartriti i\u00e7in yeni bir Ortak Karar Verme arac\u0131n\u0131n kabul edilebilirli\u011fi ve uygulama potansiyeline y\u00f6nelik karma y\u00f6ntemli bir \u00e7al\u0131\u015fma.<\/h1>\n

Finansman:<\/strong><\/h2>\n

BNSSG ICB Ara\u015ft\u0131rma Kapasitesi Geli\u015ftirme Fonu.<\/p>\n

Sorun nedir?<\/strong><\/h2>\n

Diz osteoartriti, \u015fiddetli a\u011fr\u0131ya ve sakatl\u0131\u011fa neden olabilen kronik bir durumdur. Her y\u0131l Birle\u015fik Krall\u0131k'taki yeti\u015fkinlerin 1'i osteoartrit nedeniyle yard\u0131m ararken, yakla\u015f\u0131k 100.000 hasta NHS (Ulusal Sa\u011fl\u0131k Sistemi) b\u00fcnyesinde osteoartrit nedeniyle diz protezi ameliyat\u0131 ge\u00e7irmektedir.<\/p>\n

Osteoartrit tedavi k\u0131lavuzlar\u0131, diz protezi ameliyat\u0131ndan \u00f6nce bilgilendirme, e\u011fitim, egzersiz, fizyoterapi, kilo verme ve ila\u00e7 tedavisini \u00f6nermektedir. Bununla birlikte, uygunsuz y\u00f6nlendirmeler, ameliyata eri\u015fimde e\u015fitsizlik ve en \u00e7ok \u00f6nerilen cerrahi d\u0131\u015f\u0131 tedavilerin (kilo verme ve egzersiz) benimsenme oranlar\u0131n\u0131n diz protezi ameliyat\u0131na y\u00f6nlendirme oranlar\u0131ndan daha d\u00fc\u015f\u00fck olmas\u0131 gibi belirtilerle, total diz protezi ameliyat\u0131n\u0131n (TKR) a\u015f\u0131r\u0131 kullan\u0131ld\u0131\u011f\u0131na dair endi\u015feler bulunmaktad\u0131r. Kan\u0131tlar, klinisyenlerin ameliyata alternatifler hakk\u0131nda g\u00fcncel bilgi vermeye veya hastan\u0131n tedaviyle ilgili de\u011fer ve tercihlerini ele almaya zamanlar\u0131n\u0131n olmad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.<\/p>\n

Ortak Karar Verme (A\u0130G), hastalar\u0131n bak\u0131mlar\u0131 hakk\u0131nda daha bilin\u00e7li se\u00e7imler yapmalar\u0131n\u0131 sa\u011flarken, e\u015fitsizlikleri azalt\u0131r ve sa\u011fl\u0131k hizmeti kaynaklar\u0131n\u0131 optimize eder. Bu, kan\u0131tlar\u0131n A\u0130G'nin ger\u00e7ek bir eksikli\u011fini g\u00f6sterdi\u011fi diz osteoartriti i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n

Torbay Diz Tablosu-BNSSG S\u00fcr\u00fcm\u00fc Ortak Karar Destek Arac\u0131, hastalar\u0131n hastal\u0131k s\u00fcrecinin her a\u015famas\u0131nda uygun tedavilere eri\u015febilmelerini sa\u011flamak amac\u0131yla geli\u015ftirilmi\u015ftir. Bu ara\u00e7, hastalar\u0131n ve klinisyenlerin tedavi se\u00e7enekleri hakk\u0131nda daha bilin\u00e7li bir se\u00e7im yapmalar\u0131n\u0131 desteklemeyi ve hasta merkezli bak\u0131m planlamas\u0131n\u0131 iyile\u015ftirmeyi ama\u00e7lamaktad\u0131r.<\/p>\n

Bu ara\u015ft\u0131rma, arac\u0131n kullan\u0131c\u0131lar taraf\u0131ndan kabul edilebilirli\u011fini, bir sa\u011fl\u0131k hizmeti ba\u011flam\u0131ndan di\u011ferine uyarlanabilirli\u011fini ve mevcut yerel sistemler i\u00e7indeki uygulama potansiyelini belirlemeyi ama\u00e7lamaktad\u0131r.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/strong><\/h2>\n

Hastalar ve klinisyenlerle g\u00f6r\u00fc\u015fmeler yaparak, ortak karar verme s\u00fcrecine ili\u015fkin beklentileri ve karar destek arac\u0131n\u0131n kabul edilebilirli\u011fini; ama\u00e7land\u0131\u011f\u0131 \u015fekilde ne \u00f6l\u00e7\u00fcde kullan\u0131ld\u0131\u011f\u0131n\u0131, kullan\u0131m engellerini, hafifletici fakt\u00f6rleri ve daha fazla iyile\u015ftirme \u00f6nerilerini, ayr\u0131ca ortak karar verme s\u00fcrecine ili\u015fkin deneyimleri ara\u015ft\u0131raca\u011f\u0131z. Ayr\u0131ca, mevcut sistemin arac\u0131n etkili kullan\u0131m\u0131n\u0131 destekleyip desteklemedi\u011fi konusunda klinisyenlerin g\u00f6r\u00fc\u015flerini de alaca\u011f\u0131z.<\/p>\n

Avon Diz Karar Destek Arac\u0131'n\u0131n uygulanmas\u0131nda yer alan CCG komisyon \u00fcyeleriyle yap\u0131lan g\u00f6r\u00fc\u015fmeler, onlar\u0131n arac\u0131n benimsenmesi, uygulanmas\u0131 ve kar\u015f\u0131la\u015f\u0131lan zorluklara ili\u015fkin bak\u0131\u015f a\u00e7\u0131lar\u0131n\u0131 anlamay\u0131 ama\u00e7lamaktad\u0131r.<\/p>\n

Bulgular payda\u015flara geri bildirilecek, b\u00f6ylece \u00e7al\u0131\u015fmadan elde edilen bilgiler gerekirse arac\u0131n iyile\u015ftirilmesinde kullan\u0131lacakt\u0131r. Ayr\u0131ca, Sistem Geneli Veri k\u00fcmelerini kullanmak i\u00e7in N\u00fcfus Sa\u011fl\u0131\u011f\u0131 Y\u00f6netimi ile ba\u011flant\u0131lar kuraca\u011f\u0131z. Bu, gelecekteki ara\u015ft\u0131rmalar i\u00e7in, karar destek arac\u0131n\u0131n hizmetlere eri\u015fim \u00fczerindeki etkisini ve karar destek arac\u0131n\u0131n kullan\u0131ma sunulmas\u0131n\u0131n hizmet kullan\u0131m\u0131nda herhangi bir de\u011fi\u015fikli\u011fe yol a\u00e7\u0131p a\u00e7mayaca\u011f\u0131n\u0131 belirlemek a\u00e7\u0131s\u0131ndan \u00e7ok \u00f6nemlidir. Bu, gelecekteki bir \u00e7al\u0131\u015fmada, arac\u0131n MSK yolunda (birincil, ikincil bak\u0131m, se\u00e7meli) hangi noktada, kimlerle (ya\u015f, cinsiyet, etnik k\u00f6ken, hastal\u0131k \u015fiddeti, BMI, e\u015flik eden hastal\u0131klar ve sosyal yoksunluk dahil olmak \u00fczere hasta bilgileri) nas\u0131l sunuldu\u011funu ve hastalar\u0131n hangi hizmetlere y\u00f6neldi\u011fini ve bunun maliyetini belirlemeye yard\u0131mc\u0131 olacakt\u0131r.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/strong><\/h2>\n

Dr. Andrew Moore, Kas \u0130skelet Sistemi Sa\u011fl\u0131k Hizmetleri Ara\u015ft\u0131rmalar\u0131 K\u0131demli \u00d6\u011fretim \u00dcyesi, Kas \u0130skelet Sistemi Ara\u015ft\u0131rma Birimi, Bristol T\u0131p Fak\u00fcltesi.<\/p>\n

Daha fazla bilgi<\/h2>\n

Dr. Andrew Moore hakk\u0131nda<\/a><\/p>\n

Daha fazla bilgi almak veya bu projeye dahil olmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in.\u00a0bnssg.research@nhs.net<\/a>.<\/p>\n

 <\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

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 […]<\/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\/tr\/wp-json\/wp\/v2\/pages\/34607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34607"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34607\/revisions"}],"predecessor-version":[{"id":34609,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34607\/revisions\/34609"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34607"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}