开发和评估SEE-糖尿病:以患者为中心的糖尿病护理教育决策支持系统
Ploypun Narindrarangkura1, Siroj Dejhansathit2,3, Uzma Khan2,3
1Phramongkutklao College of Medicine, Bangkok, Thailand.
Journal of evaluation in clinical practice
|November 4, 2024
概括
支持-参与-授权-糖尿病 (SEE-糖尿病) 工具有效地提高了老年人糖尿病护理的共享决策. 积极使用SEE-Diabetes的提供者改善了患者参与和协作目标设定,通过标准化量表来衡量.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 糖尿病管理 糖尿病管理
背景情况:
- 患有糖尿病的老年人经常面临管理病情的挑战,需要改善患者与提供者之间的沟通.
- 共享决策 (SDM) 对于赋予患者在糖尿病护理中的权力至关重要,但需要有效的工具.
- 支持-参与-授权-糖尿病 (SEE-糖尿病) 工具是为了促进这一群体的SDM而开发的.
研究的目的:
- 评估SEE-Diabetes工具在促进老年糖尿病管理的SDM方面的可行性和有效性.
- 评估该工具提高患者参与度和协作目标设定的能力.
- 为了确定SEE-Diabetes是否在以患者为中心的对话中区分提供者的参与.
主要方法:
- 一个可行性研究利用模拟的临床遭遇在密苏里大学医疗保健.
- 分析了12次视频记录的遭遇,涉及模拟患者和医疗保健提供者.
- 混合方法方法采用观察性患者参与度 (OPTION) 尺度,共享决策问卷 (SDM-Q-Doc) 和对话分析.
主要成果:
- 对于SDM-Q-Doc和OPTION等级的平均分数分别为52.6和75.9.
- 积极的提供者参与SEE-Diabetes显著改善了SDM和以患者为中心的目标设定.
- 提供者报告了关于该工具以患者为中心和整合潜力的积极反.
结论:
- 在糖尿病的老年人中,SEE-Diabetes在增强患者与提供者的互动方面表现有前途.
- 该工具有可能弥合沟通差距,并增加患者参与医疗保健决策.
- SEE-Diabetes提供了一种创新的糖尿病管理方法,促进患者积极参与.
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