病人和医生的决策动态在过度活跃的膀护理:一个混合方法研究研究
Hannah M Sitto1, Casey N Brodsky2, Daniela Wittmann2
1College of Medicine, Central Michigan University, Mount Pleasant, Michigan, USA.
Neurourology and urodynamics
|February 9, 2024
概括
患者和医生希望在过度活动膀 (OAB) 治疗中共同做出决定,但在侵入性,疗效,安全性和方便性方面的不同优先级在这个过程中造成了重大挑战.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康心理学 心理健康心理学
- 共享的决策方式
背景情况:
- 过度活性膀 (OAB) 管理提供了各种疗法,具有相似的疗效,但不同的管理和副作用概况.
- 这种变化需要患者和医生之间进行共享决策 (SDM),以获得最佳的护理.
研究的目的:
- 调查患者和医生对OAB治疗决策的健康信念和期望.
- 确定影响OAB管理中的SDM过程的因素,以改善患者护理.
主要方法:
- 一种混合方法的方法,结合了问卷和半结构面试与患者 (n=20) 和医生 (n=12).
- 探索有价值的治疗品质,治疗选择流程以及患者/医生对OAB疗法的经验.
主要成果:
- 患者优先考虑侵入性,疗效和安全性;医生优先考虑安全性,方便性,成本和患者偏好.
- 关键主题包括治疗难以获得的丧,不协调的患者教育观念,不同结果的可接受性,以及对彼此优先事项缺乏洞察力.
结论:
- 患者和医生都致力于在选择OAB治疗时共享决策.
- 关键领域的观点存在重大分歧,阻碍了共享决策过程.
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