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在骨科中实施关节骨关节炎的决策辅助:混合方法评估过程

Jeroen Klaas Jacobus Bossen^1,2,3, Julia Aline Wesselink⁴, Ide Christiaan Heyligers^1,2

¹School of Health Professions Education, Maastricht University, Maastricht, the Netherlands.

Medical decision making : an international journal of the Society for Medical Decision Making

|October 30, 2023

概括

关节置换手术的患者决策辅助器 (ptDAs) 尚未得到充分利用. 患者的ptDAs下降报告了更多的疼痛和感觉知情,而临床医生发现他们最有用的新诊断的患者.

科学领域:

整形外科手术整形外科手术
医疗服务研究医疗服务研究
患者为中心的护理

背景情况:

患者决策辅助器 (ptDAs) 在骨科领域的应用有限.
一项混合方法评估探讨了影响ptDA使用的患者和临床医生因素.

研究的目的:

调查与接受或拒绝使用ptDA相关的患者因素.
了解患者的原因,导致ptDAs下降.
确定临床医生认为的 ptDA 实施的障碍和促进者.

主要方法:

混合方法过程评估与153个关节置换手术患者和8名临床医生.
追溯分析比较了ptDA用户和非用户.
关于ptDA经验的临床医生采访的主题分析.

主要成果:

患者的ptDAs下降有更高的疼痛分数和更差的生活质量.
46%的患者的ptDAs下降感到足够的信息.
临床医生发现ptDAs对新诊断的患者最有益.

结论:

改善ptDA吸收可能包括在部和膝盖骨关节炎的疾病过程中更早地引入它们.
针对早期疾病阶段的ptDA引入可以提高患者的参与度.

关键词:

评估研究是评估研究.骨科医生骨科医生患者的决策辅助工具患者的决策辅助工具分享决策的决策.

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