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尾炎治疗决策支持工具的使用和影响
Joshua E Rosen1, Sarah E Monsell2, Sara C DePaoli1
1Department of Surgery, University of Washington, Seattle, WA.
Annals of surgery
|June 25, 2024
概括
一种用于治疗尾炎的决策支持工具 (DST) 减少了犹不决的患者和适度影响的偏好. 使用后决策冲突不常见,这表明了改善患者沟通的模式.
科学领域:
- 医疗信息学 医疗信息学
- 手术创新 在外科创新.
- 患者的决策制定 患者的决策
背景情况:
- 尾炎的治疗提供了抗生素和尾切除等替代方案,每一种都有不同的风险和益处.
- 患者往往缺乏有关尾炎治疗选择的知识,需要改进教育资源.
- 一个决策支持工具 (DST),AppyOrNot,被开发来帮助患者了解尾炎的治疗选择.
研究的目的:
- 评估AppyOrNot决策支持工具 (DST) 对尾炎患者治疗偏好的使用和影响.
- 评估DST对考虑尾炎治疗选择的患者决策冲突的影响.
主要方法:
- 在2021年至2023年期间使用AppyOrNot DST的个人的回顾性队列研究.
- 收集了关于DST使用前后治疗偏好,人口统计和太华决定性冲突量表 (DCS) 评分的数据.
- 分析了治疗偏好的变化和DST参与后的决策冲突水平.
主要成果:
- 8243名用户从全球和美国的不同地点访问了DST.
- 在使用DST后,未决患者的比例从55%降至49% (P < 0.0001).
- 在完成了DCS的356名用户中,52%的人报告了使用后最小的决策冲突 (<25).
结论:
- AppyOrNot DST有效地减少了关于尾炎治疗的犹,并对已建立的偏好产生了适度的影响.
- 在使用DST后,很少报告决策冲突,这表明它在患者赋权方面的实用性.
- 这个DST作为一种模型,用于加强紧急健康状况的沟通和共享决策.
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