完善,实施和评估麻醉选择对话辅助器,用于骨折的老年人部骨折:一个阶梯集群随机试验的协议
Eliana C Goldstein1, Mary C Politi1, James H Baraldi2,3
1Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St. Louis, 660 S Euclid Ave, Campus MSC 8100-94-02, St. Louis, MO, 63110, USA.
Implementation science communications
|September 12, 2024
概括
这项研究引入了一个新工具,我的麻醉选择――关节骨折,以改善关节骨折手术中麻醉的共享决策. 其目标是加强患者与临床医生的沟通,并促进知情的麻醉选择.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
背景情况:
- 在美国,关节骨折手术经常涉及全身或脊髓麻醉,选择往往取决于偏好.
- 关于麻醉选择的共享决策并不是麻醉师一致实践的.
- 一个新的对话辅助工具,我的麻醉选择――部骨折,是为了促进共享决策而开发的.
研究的目的:
- 为了完善我的麻醉选择――部骨折对话辅助工具.
- 在临床实践中评估援助的实施和有效性.
- 促进 hip 骨折患者在麻醉选择中的共享决策.
主要方法:
- 这是一项两阶段的研究,涉及定性访谈和6个美国设置的阶段子集群随机试验.
- 主要结果:干预范围 (获得援助的合格患者的百分比) 和干预有效性 (患者/临床医生沟通质量的变化).
- 由实用,稳健实施和可持续性模型 (PRISM) 指导的实施策略.
主要成果:
- 该研究旨在衡量共享决策援助的覆盖范围和有效性.
- 它将在基线,积极实施和维持期间之间比较结果.
- 结果将提供有关采用,实施和维护干预措施的数据.
结论:
- 这项大规模的试验是评估和实施麻醉共享决策对话辅助器的新.
- 强大的网站和顾问买入预计将支持成功实施和传播.
- 研究结果将为关节骨折患者的更广泛实施和潜在的其他麻醉选择提供信息.
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