创建一个共同的医疗决策支持工具,用于管理腹腔大动脉动脉瘤
Marie Dumausé1, Marie Mouillard1, Quentin Balézeaux2
1Department of General Medicine, University of Bordeaux - College of Health Sciences, Bordeaux, France.
Annals of vascular surgery
|April 13, 2024
概括
开发了一种新的患者决策辅助工具 (PtDA),以帮助患者和外科医生在腹腔大动脉瘤 (AAA) 的开放手术和内血管修复之间做出选择. 该工具支持AAA治疗选择的共享决策.
科学领域:
- 血管外科 血管外科
- 医疗决策的制定 医疗决策的制定
- 患者教育 患者教育
背景情况:
- 在手术门处未破裂的腹腔大动脉瘤 (AAA) 需要在开放式手术和内血管修复之间做出治疗决定.
- 患者决策辅助器 (PtDA) 可以促进这些复杂的外科选择之间的知情选择.
- 开发一个法语语言的决策支持工具对于AAA管理中的共享决策至关重要.
研究的目的:
- 开发一种共同的医疗决策支持工具,用于腹腔大动脉动脉瘤 (AAA) 的手术治疗.
- 创建一个患者决策辅助器 (PtDA),以帮助患者和外科医生在AAA的开放手术和内血管修复之间进行选择.
主要方法:
- 符合国际患者决策辅助标准的定性研究.
- 与14名患者和4名血管外科医生进行了半结构面试.
- 采访数据的理论分析,随后是指导委员会审查,以创建一个原型工具.
主要成果:
- PtDA的关键信息包括AAA定义,手术技术细节 (方法,持续时间),并发症,死亡率和随访.
- 该工具是以合成纸格式设计的,有6个插图和简单的词汇.
- 根据患者和外科医生的意见,内容进行了改进,以确保清晰度和相关性.
结论:
- 一个患者决策辅助 (PtDA) 工具已成功开发,用于在AAA手术治疗中共享决策.
- 该工具旨在在患者,血管外科医生和全科医生之间的咨询期间使用.
- 需要进一步的研究来验证该工具并评估其临床实用性.
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