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手术耳鼻喉科手术后患者报告的决策后悔:一个范围审查
Alice Q Liu1, Brendan D McNeely1, Eitan Prisman1
1Division of Otolaryngology Head & Neck Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
The Laryngoscope
|November 10, 2023
概括
大多数患者在耳鼻喉科手术后没有或轻微的决策后悔. 对手术前咨询和共享决策的进一步研究可以帮助尽量减少患者的遗憾.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 决策科学 决策科学
- 患者的治疗结果.
背景情况:
- 后悔的决定是手术后患者满意度的一个关键因素.
- 了解耳鼻喉科的决策遗憾对于改善患者护理和结果至关重要.
研究的目的:
- 系统地审查关于经过手术耳鼻喉科手术的成年患者决策后悔的文献.
- 分析决策后悔量表 (DRS) 分数作为主要结果指标.
主要方法:
- 从开始到2023年9月,对MEDLINE,Embase和CINAHL数据库进行了全面的搜索.
- 包括的研究涉及成人患者接受耳鼻喉科治疗,报告了DRS得分,遵循PRISMA-ScR指南.
- 通过牛津中心的证据水平来评估研究质量.
主要成果:
- 包括13项涉及6306篇选文章的研究,重点是头部和部 (10),内分泌 (1),一般 (1) 和鼻科 (1) 的子专业.
- 决策后悔量表 (DRS) 的得分在0-20 (中位数) 或10.1-23.9 (中位数) 之间,表明主要是轻度的后悔 (DRS <25).
- 经过广泛的头部和部手术或多模式治疗后,观察到更高的决策遗憾,与抑郁症,焦虑和生活质量相关.
结论:
- 这份综述表明,大多数患者在耳鼻喉科治疗后没有或轻度后悔决策.
- 这些发现强调了需要加强手术前咨询和共享决策策略的需要.
- 未来的研究应该专注于干预措施,以进一步减少耳鼻喉科患者的决策遗憾.
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