晚期病患者患者决策辅助器的有效性:基于随机对照试验的元分析
Yingjie Leng1, Tao Li1, Ruonan Xie1
1College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan Provence, China.
International urology and nephrology
|June 11, 2024
概括
患者决策辅助器 (PtDAs) 显著改善了晚期慢性病患者的决策知识和准备. 这些工具还可以减少决策后悔和冲突,在医疗保健旅程中赋予患者权力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗决策的制定 医疗决策的制定
- 卫生科学 卫生科学 卫生科学
背景情况:
- 晚期慢性病 (CKD) 提出了复杂的治疗选择.
- 有效的决策对于管理晚期CKD的患者至关重要.
- 患者决策辅助器 (PtDAs) 提供了一个结构化的方法来支持这些决策.
研究的目的:
- 系统地评估患者决策辅助工具 (PtDA) 的有效性.
- 评估PtDAs对晚期慢性病患者的决策过程的影响.
主要方法:
- 一个系统的审查和11个随机对照试验的元分析.
- 包括1613名患有晚期慢性病的患者.
- 使用RevMan 5.2和Cochrane 5.1.0质量评估提取和分析数据.
主要成果:
- PtDAs显著提高了决策知识 (SMD = 0.53,P = 0.0002).
- PtDAs 增强了决策准备 (SMD = 2.34,P < 0.00001).
- PtDAs 减少了决策后悔 (SMD = -1.33,P < 0.05) 和决策冲突 (SMD = -0.88,P = 0.004) 的发生.
结论:
- 患者决策辅助工具是晚期慢性病患者的有效工具.
- PtDAs提高了患者对治疗决策的理解和准备.
- 在晚期CKD患者的决策中,PtDAs有助于降低遗憾和冲突的水平.
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