对尿病的共享决策:使用患者决策帮助
Necole M Streeper1, Brian C Sninsky1, Kristina L Penniston1
1Department of Urology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Urology practice
|August 18, 2023
概括
对于尿道结石的患者决策辅助工具可以提高对外科手术选择的理解,如冲击波石术和尿道透视术. 虽然有帮助,但患者希望获得更详细的信息,以便做出明智的决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
- 患者教育 患者教育
背景情况:
- 患者越来越多地寻求积极参与医疗保健决策.
- 尿病的管理涉及手术干预,患者的结果各不相同.
- 有效的患者决策辅助工具对于知情同意至关重要.
研究的目的:
- 为了评估患者决策辅助器在手术治疗尿病的有用性.
- 评估患者对通过决策辅助提供的治疗选择的理解和满意度.
- 为了确定患者决策辅助器的改善领域,用于尿路结石.
主要方法:
- 招募了有尿路结石病史的患者,以考虑假设的尿路结石病例.
- 提出了使用开发的患者决策辅助工具与标准信息的手术选择 (冲击波石,尿路透镜).
- 评估参与者的满意度,理解和信息传递偏好.
主要成果:
- 86%的参与者认为决策辅助是有帮助的,尽管建议改善支架安置,不适,长期影响和成本.
- 79%的人表示,与没有援助的会议相比,他们对治疗选择有了更好的理解.
- 虽然大多数参与者更喜欢外科医生的建议,但该援助在了解选择方面提供了显著的价值.
结论:
- 患者的决策辅助工具可以改善患者对尿道结石切除手术选择的自我报告理解.
- 纳入患者对内容和设计的反对于提高辅助器的实用性至关重要.
- 决策辅助工具在临床实践中补充,但不能取代外科医生的建议.
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