为慢性阻塞性肺部疾病患者开发肺部康复患者决策辅助:混合方法研究研究
Yuyu Jiang1, Jianlan Guo2, Mengjie Chen1
1Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, People's Republic of China.
概括
这项研究开发了一个基于微信的决策辅助工具,以改善慢性阻塞性肺病 (COPD) 的老年人参与肺康复. 该工具展示了良好的可用性和增强的沟通,以改善决策.
科学领域:
- 肺部医学 肺部医学
- 医疗信息学 医疗信息学
- 患者决策辅助工具 患者决策辅助工具
背景情况:
- 慢性阻塞性肺病 (COPD) 患者的肺康复参与率低,阻碍了有效的疾病管理.
- 患者决策辅助工具可以通过提供信息和将患者价值观纳入治疗选择来提高参与度.
- 开发定制的决策辅助工具对于加强患者参与医疗保健决策至关重要.
研究的目的:
- 开发一个基于微信的患者决策辅助器,用于肺部康复,适合COPD的老年人.
- 为了促进老年COPD患者肺部康复的共享决策.
- 加强患者参与肺部康复选择.
主要方法:
- 一个系统的开发过程,包括对16项随机对照研究的文献审查.
- 与36名参与者进行半结构面试,以完善决策辅助器的内容和设计.
- 使用性,可接受性和语言表达测试与患者和医疗保健专业人员.
主要成果:
- 文献审查为肺部康复选择和结果提供了证据基础.
- 与患者的采访产生了关键主题,以年龄友好的设计,内容和介绍的决策援助.
- 开发的决策辅助器具有良好的可用性和可接受性,改善了患者和专业人员之间的沟通频率.
结论:
- 这项研究系统地为COPD患者开发了第一个肺部康复决策辅助工具.
- 决策辅助工具表现出良好的可用性和可接受性,促进了在共享决策中更好的沟通.
- 该工具有可能增加患者参与肺部康复决策.
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