对心房移除的患者决策辅助的实施改善了患者的程序知识,但没有影响患者对共享决策过程的感知参与
Nicholas Sommers1, Jason C Rubenstein1, Abdur Ahmad1
1Medical College of Wisconsin, Milwaukee, WI.
Journal of patient-centered research and reviews
|July 24, 2024
概括
患者决策辅助改善了对心房移除的知识,但没有增加患者参与共享决策. 该工具增强了对AF切除患者风险和益处的理解.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 患者教育 患者教育
背景情况:
- 共享决策 (SDM) 对于心房动 (AF) 消退至关重要,因为风险和替代方案.
- 患者决策辅助器 (PDA) 可以通过提供简洁信息来促进SDM.
研究的目的:
- 评估PDA对AF切除的SDM的影响.
- 评估PDA是否提高了患者的知识和参与决策的感知.
主要方法:
- 随机试验将虚拟SDM访问与PDA与对照访问进行比较.
- 术前问卷调查评估了知识和感知参与度.
- 未配对的t测试分析了群体差异.
主要成果:
- 在SDM组,对知识问题的正确答案显著提高 (69%对53%).
- SDM组表现出对中风风险,抗凝药和进一步程序的需要有更好的理解.
- 参与决策的感知并没有显著改善 (4.7与4.6).
结论:
- PDAs显著提高了AF切除的程序知识.
- 与标准讨论相比,PDAs没有增加患者对决策过程的感知参与.
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