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在耳植入物评估过程中结果预期的变化
Joshua E Fabie1,2, Christian M Shannon1,2, Shreya Chidarala1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Ear and hearing
|October 3, 2024
概括
患者对耳植入物 (CI) 的期望可以在评估过程中进行修改. 个性化咨询和与当前用户的讨论有助于为更好的共同决策制定现实的结果.
科学领域:
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学心理学 医学心理学
背景情况:
- 患者的期望显著影响耳植入物 (CI) 候选和结果.
- 关于这些期望是如何形成的,以及它们是否可以被医疗保健提供者修改的数据有限.
- 了解患者信息来源和结果偏好对于管理期望至关重要.
研究的目的:
- 评估CI评估 (CIE) 过程对患者期望的影响.
- 为了确定前CI结果预期的可修改性.
- 确定患者使用的信息资源及其在讨论CI结果时的偏好.
主要方法:
- 未来混合方法研究涉及32名成年CI候选人.
- 使用的耳植入物生活质量-35概况 (CIQOL-35) 和决策冲突量表 (DCS) 调查问卷.
- 进行了对19名潜在IC接受者采访的专题分析.
主要成果:
- 平均而言,CIQOL预期得分的变化很小,但个人的预期有所不同.
- 高于CIE前的预期在评估后下降,而较低的预期在某些领域增加.
- 患者重视与当前CI用户的讨论,并更喜欢功能性结果描述而不是得分.
结论:
- 可以修改个人CI预期,突出CIQOL-Expectations工具的价值,以实现现实的目标设定.
- 个性化咨询和患者对患者的讨论对于管理期望至关重要.
- 通过功能阶段和临床细节传达结果可以加强共享决策.
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