患者期望和决策后悔在腹腔的管理
Cameron A Casson1, Bradley S Kushner2, Timothy R Holden3
1Department of Surgery, Washington University in St. Louis, St. Louis, MO, USA. ccasson@wustl.edu.
Surgical endoscopy
|October 16, 2024
概括
分享决策辅助工具并没有减少老年人考虑腹修复的决策遗憾. 患者的期望,而不是援助,影响了遗憾,强调需要明确沟通关于管理选项的需要.
科学领域:
- 老年人手术是一门老年人手术.
- 外科手术决策的制定能力
- 健康 结果 研究 研究 结果
背景情况:
- 年长的成年人面临着关于选择性腹腔修复的复杂选择.
- 了解影响患者满意度和遗憾的因素对于优化护理至关重要.
研究的目的:
- 评估一种新型的共享决策 (SDM) 援助是否能在接受腹修复的老年人中减少决策遗憾.
- 探索患者期望,治疗选择和决策后悔之间的关系.
主要方法:
- 一项随机对照试验,涉及60岁及以上的患者,评估腹.
- 实验小组在协商期间使用了一种新的SDM辅助.
- 在咨询后六个月内,所有患者都使用了决定后悔量表.
主要成果:
- 支持SDM并没有显著影响观察的选择,也没有降低决定后悔得分.
- 与非手术管理相比,手术修复与明显较低的决策后悔有关.
- 那些希望或预期接受手术但没有接受手术的患者报告了更高的决策遗憾.
结论:
- 在腹腔管理中的决定性遗憾主要与患者在咨询前的期望有关.
- 实施的SDM援助并没有有效地降低这一群体的决策遗憾.
- 设定现实的期望和提供持续的支持对于改善患者在管理中的结果至关重要.
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