在新患者访问后,与倒治疗相关的决策冲突
Julia K Shinnick1, Araba A Jackson2, Russel Stanley3
1From the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
Urogynecology (Philadelphia, Pa.)
|September 27, 2024
概括
代表性不足的患者 (URP) 和非URP患者报告了关于盆腔器官脱落治疗的类似决策冲突. 需要进一步的研究来探索潜在的分组在决策舒适性方面的差异.
科学领域:
- 泌尿后科和盆地底部疾病.
- 医疗保健中的健康差异
- 患者的决策和健康结果
背景情况:
- 骨盆器官脱落 (POP) 治疗决策涉及影响患者信心的复杂因素.
- 决策冲突,衡量决策不确定性,对于有效的治疗选择至关重要.
- 了解代表性不足的患者群体的决策冲突对于公平的护理至关重要.
研究的目的:
- 在POP管理初步商后,比较代表性不足的患者 (URP) 和非URP患者之间的决策冲突水平.
- 在不同患者群体中识别与POP治疗相关的决策舒适度的潜在差异.
主要方法:
- 一项涉及207名新患者的多中心队列研究,在2021年7月至2022年12月期间为POP管理提供咨询.
- 参与者完成了经过验证的决策冲突量表 (DCS),以评估决策的舒适性.
- 根据自我识别,URP被定义为非白人或西班牙裔;统计分析使用了0.05.05的alpha.
主要成果:
- 在URP (12.9 ± 12.3) 和非URP (11.6 ± 14.9;P = 0.31) 之间的平均DCS得分中没有发现显著差异.
- URP更有可能患高血压,而非URP的先前子宫切除和形手术的比例更高.
- 在其他骨盆底疾病,形阶段或选择的治疗方法方面,两组之间没有观察到差异.
结论:
- 关于POP治疗的决策冲突在代表不充分的患者和代表不充分的患者之间没有显著差异.
- 需要对特定子组内的潜在决策冲突变异进行进一步的调查.
- 确保对所有接受POP治疗的患者提供公平的决策支持仍然是优先事项.
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