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对于盆腔器官脱落的决策干预:系统性审查,元分析和环境扫描

Renata W Yen^1,2, Amanda C Coyle³, Kimberley C Siwak⁴

¹Geisel School of Medicine at Dartmouth, Center for Technology and Behavioral Health, Lebanon, New Hampshire, USA.

Journal of women's health (2002)

|December 9, 2024

概括

对于盆腔器官脱落 (POP) 的决策干预措施没有改善患者的结果. 目前用于POP决策的在线资源质量低,写作不佳,因此对于年轻患者来说,需要以用户为中心的数字干预措施.

科学领域:

泌尿后科和妇女健康
医疗保健服务研究医疗服务研究
医疗决策的制定医疗决策的制定

背景情况:

骨盆器官脱落 (POP) 需要对患者的偏好敏感的治疗决策.
进行了系统审查和元分析,以评估对POP的决策干预措施.
环境扫描评估了POP决策的在线干预的数量和质量.

研究的目的:

确定决策干预措施对患者报告的POP结果的影响.
评估OPP的可用在线决策资源的质量和数量.

主要方法:

系统地搜索欧维德·梅德林的文献,科克伦试验,斯科普斯,试验登记册和参考清单.
八项涉及512名患者的研究的元分析和叙事综合.
使用DISCERN,IPDAS检查表和可读性指标对在线资源 (谷歌,应用商店,临床协会网站) 的环境扫描.

主要成果:

在决策冲突,决策后悔,满意度,知识或共享决策方面没有发现显著差异.
研究质量低至中等;在线干预 (32项评估) 大多是非互动的,总体质量低.
在线干预的平均DISCERN分数为48.2/80和平均阅读等级水平为10.0.

结论:

目前对POP的决策干预措施没有改善患者报告的结果.
现有的在线POP决策干预措施质量低,可读性差,年轻人群测试有限.
未来的研究应该专注于以用户为中心的数字干预设计,特别是针对年轻患者群体.

关键词:

在决策过程中做出决定.这是一个决定性冲突.干预措施干预措施骨盆器官的脱落骨盆器官的脱落

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