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カテーテル留置法の医療提供者による意思決定プロセス:全国調査研究
Coen Huibert Harry Christiaans1, Felice Emanuela Espèrance van Veen1, Jeroen Ronald Scheepe1
1Department of Urology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Neurourology and urodynamics
|January 30, 2026
まとめ
膀胱ドレナージ法の医療提供者による意思決定は様々である。共同意思決定と意思決定支援ツールは、カテーテル留置法の選択における患者と提供者の協力を改善することができる。
科学分野:
- 泌尿器科学、ヘルスケアマネジメント、患者ケア
背景:
- カテーテル留置法の選択には、個々の患者のニーズが重要である。現在、補助的な膀胱ドレナージの意思決定は、透明性と標準化が欠如している。
研究 の 目的:
- カテーテル留置法と膀胱管理に関するオランダの医療提供者の意思決定を調査および比較する。患者のエンパワーメントとカテーテル意思決定支援ツールの開発に役立てる。
主な方法:
- 泌尿器科医、リハビリテーション医、医師助手、専門看護師を対象とした全国調査。12の質問票で意思決定プロセス、治療選択肢、影響要因を評価した。
主要な成果:
- 108人の医療提供者が回答(回答率36%)。ほとんどが看護師または泌尿器科医であった。継続看護師の関与は最も低かった。根本原因の代替治療について議論しなかったのは53%であった。患者の特性に基づいて主に決定が行われた。
結論:
- 医療提供者の意思決定プロセスには、著しい相違が存在する。共同意思決定は、膀胱管理の選択における患者と提供者の協力を強化する。より良い結果のためには、トレーニングと検証された意思決定支援ツールが推奨される。
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