探索改善患者理解和沟通的方法在复杂的囊诊所:随机对照可行性研究的结果
Nusrat Iqbal1,2, Jordan Fletcher2,3, Paul Bassett4
1Robin Phillips' Fistula Research Unit, St Mark's Hospital, Harrow, UK.
概括
现实的3D打印模型显著改善了患者对尾瘤手术的理解. 这些模型得到了患者的高度认可,并被推用于未来的咨询.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 医学教育 医学教育
- 患者沟通 患者沟通
背景情况:
- 患者对尾的了解对于明智的决策至关重要.
- 解释尾的传统方法和治疗选择可能有局限性.
研究的目的:
- 评估使用现实的3D打印模型在管查咨询中的可接受性.
- 评估3D模型对患者对疾病和拟议手术的理解的影响.
主要方法:
- 一项前性,随机对照性研究,涉及52名新转诊者到第三级囊诊所.
- 参与者接受了标准咨询 (MRI,图表) 或标准咨询以及3D打印模型.
- 评估疾病/手术和决策冲突的理解,使用经过验证的诊断前和诊断后尺度.
主要成果:
- 两个小组在咨询后对尾的理解有所增加.
- 决策冲突在两组中都很低 (中位数为27个标准对比24个3D模型).
- 患者对3D模型的评价很高,96%的患者希望再次看到它们.
结论:
- 三维打印模型是囊门诊诊所的宝贵补充.
- 这些模型似乎改善了对拟议手术的理解.
- 需要进一步的试验来确认对3D模型的理解和探索最佳使用的显著改进.
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