基于视频的决策辅助工具改善了对无症状持久性内牙病变的知识,并减少了决策冲突
Mingrun Wei1, Shaoyong Tan1, Peter Tsao Pan Yu2,3
1Khoo Teck Puat Hospital Dental Surgery, Singapore City, Singapore.
International endodontic journal
|January 22, 2024
概括
患有无症状持续性内牙病变 (APEL) 的患者在使用视频决策辅助器 (DA) 后更喜欢长期监测. DA提高了患者的知识,减少了决策冲突,赋予了知情选择的权力.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 患者的决策制定 患者的决策
- 医疗信息学 医疗信息学
背景情况:
- 无症状持续性内牙病变 (APEL) 是一个临床挑战,需要患者做出明智的决策.
- 传统的决策过程可能无法充分为患者提供必要的知识或信心.
- 基于视频的决策辅助工具 (DA) 为患者教育和参与提供了标准化的方法.
研究的目的:
- 评估基于视频的DA对患者治疗决策,知识和关于APEL的决策冲突的影响.
- 确定影响患者对APEL管理决策的关键因素.
- 用DA评估患者干预后的信心水平.
主要方法:
- 一项前性队列研究,涉及50名具有偶然APEL发现的患者.
- 开发和使用符合国际患者决策辅助标准 (IPDAS) 的视频DA.
- 通过问卷评估患者的知识,决策冲突和DA使用前后的治疗选择.
主要成果:
- 显著的大多数 (86%) 患者选择长期监测而不是内牙干预.
- 平均知识分数显著增加 (p < .001),而决策冲突分数显著下降 (p < .001).
- 牙无症状是统计学上唯一重要的决定因素;社会经济因素没有显示趋势.
结论:
- 基于视频的DA显著提高了患者的知识,并减少了APEL管理中的决策冲突.
- 大多数患者在充分了解情况时选择保守的治疗 (长期监测).
- 该研究强调了DA在支持患者在内牙治疗决策中的知情选择方面的有效性.
更多相关视频
06:06Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
2.5K
07:03Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System
Published on: May 5, 2022
4.5K
相关概念视频
01:26Assessment of the Mouth
215
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
215
01:28Endoscopic Procedures III: Video Capsule Endoscopy
158
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
158