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在胰腺手术中共享决策

Jennifer Trobaugh1, Wayne Fuqua1, Kyra Folkert2

  • 1From the Department of Psychology, Behavioral Medicine Laboratory, Western Michigan University.

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PubMed
概括
此摘要是机器生成的。

在胰腺手术中,共享决策 (SDM) 改善了患者的康复期望,减少了遗憾,并提高了生活质量. 改善医生与患者之间的互动是实现这些积极结果的关键.

关键词:
在胰腺外科手术中.患者报告的结果.共享决策的共同决策.

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科学领域:

  • 在瘤学瘤学.
  • 手术瘤学手术瘤学
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 胰腺手术涉及重大风险,包括发病率,死亡率和疾病复发,使患者的决策复杂化.
  • 加强共享决策 (SDM) 可以带来与患者目标和价值观一致的护理.

研究的目的:

  • 确定影响患者在胰腺外科手术中对共享决策 (SDM) 的看法的因素.
  • 探索SDM与患者结果 (如满意度,决策后悔,生活质量和恢复期望) 之间的关系.

主要方法:

  • 对接受胰腺手术的患者进行了横截面调查.
  • 收集的数据包括对决策量表 (SWD) 的满意度,决策后悔量表 (DRS),医生与患者的互动质量和生活质量 (FACT-Hep).
  • 统计分析包括皮尔森的相关性和回归建模来评估关系.

主要成果:

  • 在SDM和决策后悔/满意度 (r=0.70) 和恢复预期 (r=0.62) 之间发现了强烈的正相关性.
  • 医生与病人关系质量与康复期望相关 (r=0.53).
  • SDM得分预测了决策评估 (R2{adj) =0.48),生活质量 (R2{adj) =0.15) 和恢复预期 (R2{adj) =0.37).

结论:

  • 在胰腺手术中改善SDM与更现实的恢复预期有关.
  • 增强的SDM与减少决策后悔和改善患者生活质量有关.
  • 优化医生与患者的关系对于改善胰腺手术患者的治疗结果至关重要.