眼内透镜选择白内障手术共享决策的现状:一项跨部分研究
Jingyao Dai1, Yiting Hua1, Yijie Chen1
1School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.
Patient preference and adherence
|July 1, 2024
概括
在眼内透镜选择中,共享决策 (SDM) 是中度的. 患者的教育,手术前的准备和决策的准备影响了SDM水平,这完全介绍了对决策的满意度.
科学领域:
- 眼科医生 眼科 眼科
- 患者的决策制定 患者的决策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,特别是在选择性手术中,如白内障手术,涉及眼内透镜 (IOL) 选择.
- 了解影响SDM的因素及其对患者结果的影响,对于改善临床实践至关重要.
研究的目的:
- 评估白内障患者在IOL选择中SDM的水平.
- 确定影响SDM参与的因素.
- 检查决策准备 (PrepDM),SDM和对决策的满意度 (SWD) 之间的关系.
主要方法:
- 176名白内障患者完成了测量PrepDM,SDM (SDM-Q-9) 和SWD的验证问卷.
- 多重线性回归分析了影响SDM的因素.
- 使用PROCESS宏和引导的调解分析测试了SDM的调解作用.
主要成果:
- 中位数SDM-Q-9得分表明上中范围参与.
- 较低的SDM分数与手术眼部手术史,较低的PrepDM (<60) 和较低的教育水平有关.
- 准备DM与SDM (r=0.768) 和SWD (r=0.727) 都具有正相关性. SDM同样与SWD正相关 (r=0.856).
结论:
- 对于白内障患者的内腔镜选择中的SDM处于上中范围.
- 影响SDM的因素包括教育,之前的眼科手术和患者的准备.
- SDM充分介绍了PrepDM和SWD之间的关系,强调了它对患者满意度的重要性.
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