通过使用囊管镜检查的总结性患者手册来改善知识转移
Mark A Assmus1, Ryan McLarty1, Ambikaipakan Senthilselvan2
1Department of Surgery, Division of Urology, University of Alberta, Edmonton, Alberta, Canada.
Urology practice
|June 10, 2023
概括
一份新的患者手册显著改善了对囊囊镜检查结果和后续计划的理解. 该工具增强了医生与患者之间的沟通,以获得更好的泌尿器科护理结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者沟通 患者沟通
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 囊镜是一种常见的泌尿器科手术,对患者对结果的理解数据有限.
- 质量评估发现患者对当前护理模式的理解较低.
- 为了解决这一差距,开发了一种正式的书面沟通工具.
研究的目的:
- 评估患者对门诊囊镜检查结果的理解程度.
- 评估总结性患者手册在改善医生与患者沟通方面的有效性.
- 确定手册是否有助于更好地理解结果和后续计划.
主要方法:
- 使用了干预前后研究设计.
- 连续接受加拿大第三级护理中心囊镜检查的患者进行了调查.
- 实施了总结性患者手册,以促进结果和后续计划的沟通.
主要成果:
- 患者认为他们的结果被讨论的比例从87%提高到94% (p=0.02).
- 患者和泌尿科医生报告的囊镜检查结果之间的一致性从56%增加到75% (p <0.001).
- 患者对其囊镜后随访计划的识别从51%提高到80% (p <0.001).
结论:
- 实施总结性患者手册显著改善了患者对囊囊镜检查结果的理解.
- 该手册增强了患者对术后后续计划的理解.
- 这种沟通工具有效地改善了囊镜术后患者的治疗结果.
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