在手术甲状腺咨询期间共享决策
Ida Lund Lorenzen1, Anne Louise Kjær Olesen1, Christian Sander Danstrup1,2
1Department of Otorhinolaryngology - Head and Neck Surgery and Audiology, Aalborg University Hospital.
Danish medical journal
|January 3, 2025
概括
患者和外科医生在甲状腺结节咨询中报告了高度共享决策 (SDM). 然而,影响SDM认知和决策遗憾的因素需要进一步调查.
科学领域:
- 内分泌学和外科瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于个性化治疗计划至关重要.
- 这项研究调查了患者和外科医生对甲状腺结节的SDM的看法.
- 该研究还探讨了差异,影响因素和决策遗憾.
研究的目的:
- 在甲状腺结节咨询中评估患者和外科医生对共享决策 (SDM) 的看法.
- 确定影响患者感知SDM水平的因素.
- 评估决策后悔的发生率和相关性.
主要方法:
- 一项前性调查研究,涉及患者和外科医生咨询甲状腺结节.
- 利用验证的问卷来衡量人们对SDM的感知水平.
- 评估了六个月的决策遗憾,使用决策遗憾量表.
主要成果:
- 患者报告的SDM中位数 (86.7) 比外科医生 (80.0) 高得多.
- 较高的SDM与初步检查有关,而不是社会人口统计学因素.
- 12.2%的患者经历了决策后悔,这与他们的SDM得分无关.
结论:
- 患者和外科医生都报告了高水平的感知SDM.
- 除了咨询类型外,SDM和决策遗憾在很大程度上独立于社会人口统计学因素.
- 需要对客观SDM措施进行进一步的研究,以了解影响因素.
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