我的麻醉选择-HF:开发和初步测试一个工具,以促进谈话麻醉骨折手术的部骨折手术
Mark D Neuman1,2,3,4, Glyn Elwyn5, Veena Graff6,7,8
1Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, 308 Blockley Hall 423 Guardian Drive, Philadelphia, PA, 19106, USA. neumanm@pennmedicine.upenn.edu.
BMC anesthesiology
|May 1, 2024
概括
一个新的对话辅助工具,我的麻醉选择-部骨折,有效地减少了患者的决策冲突,并改善了有关部骨折手术麻醉选择的知识,证明了其临床实用性.
科学领域:
- 麻醉学 麻醉学
- 决策科学 决策科学 决策科学
- 患者教育 患者教育
背景情况:
- 患者经常希望参与麻醉决策,但缺乏关于选择的全面信息.
- 临床医生通常不完全解释麻醉选择或探索患者的偏好.
- 这项研究解决了改善患者参与关节骨折手术麻醉决策的需要.
研究的目的:
- 开发和测试一种新的对话辅助器的初步有效性和可接受性,我的麻醉选择部骨折.
- 评估援助对患者决策冲突和对麻醉选择的知识的影响.
- 评估患者对帮助在临床环境中的可用性的看法.
主要方法:
- 一页,简单的语言,表格式的对话辅助工具与麻醉师,决策科学家和社区顾问的投入共同设计.
- 一项在线调查对50岁及以上的英语成年人进行,模拟在关节骨折手术中选择脊柱和全身麻醉.
- 参与者在审查对话辅助器之前和之后填写了评估决策冲突,知识和援助可接受性的问卷.
主要成果:
- 观察到决策冲突的显著减少,从63%降至34% (P < 0.001).
- 中位数知识得分大幅提高,从50%到67%的正确度 (P < 0.001).
- 该援助被评为有利的,有83%的人认为它将促进讨论,76.4%的人赞成其临床使用.
结论:
- 我的麻醉选择关节骨折是减少决策冲突和增强患者对关节骨折手术麻醉选择知识的有效工具.
- 对话辅助被发现是可接受的在临床实践中实施.
- 建议进行进一步的研究,以探索临床决策辅助器对共享决策的更广泛影响.
相关概念视频
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01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
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01:24General Anesthesia: Overview
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General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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01:22Stages of General Anesthesia
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01:24Parenteral Anesthetics: Overview
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