使用基于选择的自适应联合方法,促进骨关节炎管理中的共享决策:患者感知研究
Basem Al-Omari1, Joviana Farhat1, Mohanad Odeh2
1Khalifa University, Abu Dhabi, United Arab Emirates.
基于适应性选择的联合 (ACBC) 方法有效地帮助医生了解患者的偏好,从而促进骨关节炎 (OA) 治疗的共享决策 (SDM). 高等教育和就业与患者更好地参与OA治疗决策相关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 治疗决策需要有效的共享决策 (SDM).
- 了解患者的偏好对于成功的OA管理至关重要.
- 传统的方法可能无法完全捕捉患者在关节炎治疗选择中的偏好.
研究的目的:
- 评估基于自适应选择的联合 (ACBC) 方法在促进OA治疗的SDM方面的实用性.
- 探索患者对OA药物的偏好及其对决策的影响.
- 评估患者人口统计和SDM/ACBC结果之间的关联.
主要方法:
- 从阿布扎比,阿联招募成年OA患者.
- 关于影响决策,ACBC偏好和SDM贡献的管理问卷.
- 采用单变量分析,奇二测试,费舍尔精确测试,克拉梅尔V和多变量逻辑回归.
主要成果:
- 500名患者参与;96.8%的人发现ACBC预测了偏好,93%的人认为它有助于医生理解,92.8%的人建议它用于SDM.
- 患者的意见和信息来源与年龄,性别,教育和就业有显著的关联.
- 教育水平是受在线/纸质信息影响的决策最强的预测因素 (φc 0.24).
结论:
- 该ACBC方法显示在增强医生了解患者对OA治疗偏好的承诺.
- 大多数OA患者在药物决定中是独立的或受到医生的影响.
- 高等教育和就业与患者在OA治疗SDM中的更大参与有关.
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