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在两个医疗保健系统中,探索患者的观点,分享关于减肥手术的决策
Kathleen McTigue1, Anita Courcoulas2, Robert Wellman3
1Departments of Medicine and Epidemiology University of Pittsburgh Pittsburgh Pennsylvania USA.
Obesity science & practice
|November 27, 2024
概括
接受减肥手术的患者报告了良好的共享决策 (SDM) 经验. 随着患者离手术日期越来越近,SDM的水平增加,这表明患者参与护理的程度有所改善.
科学领域:
- 腹部外科 腹部外科
- 以患者为中心的护理
- 共享决策 - - 分享决策
背景情况:
- 严重的肥胖会给健康带来重大挑战,但很少有符合条件的个人选择减肥手术.
- 共享决策 (SDM) 提供了一个潜在的框架,以加强患者参与考虑减肥手术选择.
研究的目的:
- 在减肥手术的背景下评估患者对共享决策 (SDM) 的看法.
- 了解SDM水平如何在整个腹部外科手术患者旅程中发生变化.
主要方法:
- 采用了横截面调查设计,收集了167名患者的数据,分为三个不同的阶段:转诊后,初次预约后和手术前访问.
- 经过验证的工具,包括CollaboRATE,SDM-Q-9和国家质量论坛 (NQF) 的措施评估了SDM水平.
- 收集的数据来自Kaiser Permanente和UPMC减肥手术诊所的患者.
主要成果:
- 总体而言,62%的患者表示对SDM (CollaboRATE分数) 的满意度很高.
- SDM-Q-9的得分在各个队伍中显著改善,从66.9 (转诊后) 到88.4 (手术前).
- 国家质量论坛 (NQF) 的SDM分数也表现出改善,总体平均为3.11,初次任命后达到3.31.
结论:
- 接受减肥手术的患者通常报告中度至高水平的共享决策.
- 随着患者在手术途径的进展,特别是临近手术日期,SDM的参与似乎会增加.
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