一项关于共享决策和激励面试的近期骨折患者参加骨折联络服务的准实验性研究
Lieke Maas1, Mickaël Hiligsmann1, Caroline E Wyers2,3
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, 6200 MD, Maastricht, The Netherlands.
概括
一个多组件的坚持干预改善了骨折患者的共享决策 (SDM),但并没有显著增加抗骨质疏松症药物 (AOM) 的持久性. 需要进一步的研究来优化AOM遵守和结果.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于患者护理,治疗坚持和结果至关重要.
- 它在需要抗骨质疏松药物 (AOM) 的骨折患者中的有效性尚不清楚.
- 骨折联络服务 (FLS) 为改善骨质疏松症管理提供了一个环境.
研究的目的:
- 评估FLS患者的多组分坚持干预 (MCAI) 与常规护理 (UC).
- 该MCAI包括患者决策辅助 (PDA) 和激励面试.
- 评估对AOM持久性,坚持性,决策质量和临床结果的影响.
主要方法:
- 一个前后优越性研究设计.
- 包括245名近期骨折需要AOM的患者.
- 主要结果:AOM持续1年;次要结果:坚持,SDM过程,决策冲突,骨折,死亡率.
主要成果:
- 在MCAI (80.4%) 和UC (76.7%) 组之间的1年AOM持久性没有显著差异 (p=.626).
- MCAI显著改善了SDM过程得分 (60.4比55.1;p=.003).
- 在AOM启动,遵守 (MPR) 或决策冲突方面没有显著差异.
结论:
- 在FLS与会者中,MCAI对SDM过程产生了积极的影响.
- 干预措施并没有显著改善AOM持久性或坚持性.
- 健康素养可能会影响干预的有效性,需要进一步研究.
关键词:
骨折联系服务 骨折联系服务对抗骨质疏松症的药物治疗骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.药物治疗的坚持 药物治疗的坚持药物持续性 药物持续性骨质疏松症是一种骨质疏松症.帮助患者做出决定的帮助.分享决策的决策.更多相关视频
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