基于ISCHEMIA试验:混合方法研究,开发针对慢性冠状动脉疾病的个性化患者决策辅助
Dan D Nguyen1,2, Carole Decker1, Christina M Pacheco3
1Saint Luke's Mid America Heart Institute, Kansas City, MO (D.D.N., C.D., S.L.F., C.F., N.I., A.I.U., J.A.S.).
Circulation. Cardiovascular quality and outcomes
|September 20, 2024
概括
开发慢性冠状动脉疾病患者决策辅助工具 (PDA) 为患者提供特定的结果,以支持共享决策. 该工具将临床试验数据翻译为个别患者的需求,改善治疗选择.
科学领域:
- 心脏病学 心脏病学
- 医疗决策的制定 医疗决策的制定
- 患者教育 患者教育
背景情况:
- 慢性冠状动脉疾病 (CCD) 管理涉及侵袭和保守方法之间的偏好敏感决策.
- 共享决策至关重要,但将人口平均试验结果传达给个别患者是具有挑战性的.
- 现有的临床试验数据往往不能代表个体患者对CCD管理的结果.
研究的目的:
- 为CCD开发一个患者决策辅助器 (PDA).
- 提供针对患者的侵袭性与保守性管理的具体结果估计.
- 将PDA建立在ISCHEMIA试验数据的基础上.
主要方法:
- 一个多相混合方法研究,涉及与患者,护理人员和临床医生聚焦小组.
- 引起患者对结果和治疗偏好的优先考虑.
- 使用参与者反开发和代改进PDA.
主要成果:
- 参与者优先考虑生存和生活质量,其次是身体功能和症状.
- 患者重视共享决策,但往往将其推迟到临床医生.
- 像速度计这样的简单可视化是代表结果的首选.
- 患者更喜欢与临床医生合作使用PDA.
结论:
- 为CCD开发了一种新的以患者为中心的PDA.
- 该PDA提供了针对患者的具体结果,增强了共享决策.
- 这种方法有助于将临床试验结果转化为个人患者的护理.
关键词:
冠状动脉动脉图 (Coronary Angiography) 是一种冠状动脉动脉图.冠状动脉绕道 (bypass) 是一种冠状动脉绕道.冠状动脉疾病是一种冠状动脉疾病.缺血缺血症是什么意思 缺血缺血症通过皮肤进行冠状动脉干预.人们的生活质量.更多相关视频
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