一项关于辅助决策对发展中国家患者白内障手术知识影响的定性研究
Mohammed-Sherrif Napari Fuseini1, Zulfiya Emefa Edugle Gbedemah1, Sam Kwaku Esson Jonah Fordjuor1
1College of Health Science, University of Ghana Medical School, Korle Bu, Accra, Ghana.
International ophthalmology
|July 1, 2024
概括
决策辅助在加纳显著改善了白内障手术知识,并减少了患者决策冲突. 这种干预可以帮助在非洲增加这种视力挽救手术的普及.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康决策科学 医疗科学
背景情况:
- 在非洲,白内障手术的普及受到知识不足和成本担忧的阻碍,尽管手术的安全性很高.
- 了解患者的知识和决策冲突对于改善获得眼科护理的机会至关重要.
研究的目的:
- 评估决策辅助对白内障手术知识和决策冲突在非洲患者的影响.
- 评估提供有针对性的信息的有效性,以赋予患者在治疗决策中的权力.
主要方法:
- 一项随机对照试验,涉及加纳120名白内障患者.
- 患者可以获得关于白内障手术结果的决策辅助工具或一般信息小册子.
- 通过问卷 (≥6/12充足) 来评估知识,并使用决策冲突量表来评估决策冲突.
主要成果:
- 决策辅助组在所有知识问卷部分的得分显著更高 (p<0.001).
- 干预组的整体知识分数明显高 (36.7%的差异;p<0.001).
- 接受决策辅助的患者报告了明显较低的决策冲突得分 (13.00比37.17;p<0.001).
结论:
- 决策辅助工具有效地提高了患者对白内障手术的知识.
- 这些辅助工具显著减少了决策冲突,潜在地提高了治疗接受度.
- 实施决策辅助可以是一个有价值的策略,以提高白内障手术在发展中国家的吸收.
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