考虑为坐骨髓炎进行手术的患者的决策辅助:与患者和临床医生进行代码设计和用户测试
Julie Ayre1, Richie Kumarage1, Hazel Jenkins2
1Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
概括
一个新的决策辅助工具有助于 sciatica 患者了解手术选择. 它是根据患者和临床医生的意见开发的,它使得人们能够做出明智的选择,尽管长期的外科治疗结果与非手术治疗类似.
科学领域:
- 医疗信息学 医疗信息学
- 患者的决策制定 患者的决策
- 手术结果研究研究.
背景情况:
- 坐骨髓炎手术提供更快的初始恢复,但12个月的结果与非手术方法相匹配.
- 选择坐骨髓 sciatica 手术的决定需要仔细考虑,突出需要患者的决策辅助工具.
- 患者决策辅助工具是基于证据的工具,旨在支持患者进行复杂的医疗选择.
研究的目的:
- 开发和完善患者决策辅助工具,以帮助患有坐骨神经炎的人.
- 帮助患者在外科干预和非外科治疗之间做出选择 ("等待").
主要方法:
- 采用了半结构面试和大声思考的用户测试协议.
- 这项研究涉及20名临床医生和20名患有 sciatica或腰部疼痛的患者.
- 在七轮用户测试中进行了代改进,并纳入了临床医生和患者的反.
主要成果:
- 临床医生对决策辅助工具的有用性 (5.9/7) 和易用性 (6.0/7) 进行了高度评价.
- 患者表现出良好的理解力,正确回答了3.4/5个知识问题,阅读等级水平为9.0.
- 患者报告了对决策的高度准备 (4.4/5),表明了赋权和为知情选择做好准备.
结论:
- 开发的决策辅助工具对临床医生来说是可以接受的,对患者来说是易于理解的.
- 患者和临床医生的反表明,这种援助使患者能够积极参与他们的护理.
- 合作开发和用户测试对于创建满足用户需求并促进价值调整决策的决策辅助工具至关重要.
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