在白内障手术中的风险沟通
Diana Lucia Martinez1, Iqbal Ike K Ahmed1,2,3,4, Matthew B Schlenker5,3,4
1Prism Eye Institute, Mississauga, Ontario, Canada.
BMJ open ophthalmology
|May 10, 2024
概括
白内障手术风险的呈现方式显著影响患者的感知. 积极框架 (99%没有不良影响) 与负面框架 (1%不良影响) 相比,导致感知风险较低.
科学领域:
- 眼科医生 眼科 眼科
- 健康心理学 心理健康心理学
- 决策科学 决策科学 决策科学
背景情况:
- 有效的风险沟通对于医疗保健的共享决策至关重要.
- 目前用于沟通白内障手术风险和益处的方法缺乏标准化.
- 患者对手术风险的看法受到了信息的构成方式的影响.
研究的目的:
- 调查信息框架对患者对白内障手术风险的看法的影响.
- 确定手术结果的正面与负面框架是否会影响感知到的风险.
- 确定影响患者对白内障手术风险感知的因素.
主要方法:
- 一项双臂并行随机研究,涉及患者转诊接受白内障手术.
- 信息是正面的 (99%没有不良反应的可能性) 或负面的 (1%不良反应的可能性).
- 患者在信息后暴露的1-6级别上对外科副作用的感知风险进行了评分.
主要成果:
- 100名患者参与,每组50名患者.
- 积极框架组 (2 [1-2]) 的中位感知风险明显低于负面框架组 (3 [1-3]),p<0.0001.
- 信息框架是影响风险感知的唯一重要因素;患者人口统计学和临床因素没有显著差异.
结论:
- 对白内障手术风险的积极框架导致患者报告的风险得分较低.
- 患者特定的临床或人口特征没有显著影响感知风险.
- 建议进行进一步的大规模纵向研究来探索这些发现.
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