在咨询过程中使用结果信息可以产生更好的共享决策,更好的患者体验和更积极的期望:一项比较有效性研究
Nina L Loos1, Ruud W Selles1, Marloes H P Ter Stege2
1Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, The Netherlands; Department of Plastic, Reconstructive, and Hand Surgery, Erasmus MC, Rotterdam, The Netherlands.
使用感知结果信息的患者报告了更好的共享决策和医疗保健经验. 这突显了结果数据在改善患者参与和治疗期望方面的价值.
科学领域:
- 医疗保健研究成果研究结果
- 基于价值的医疗保健
- 患者为中心的护理
背景情况:
- 基于价值的医疗保健强调患者的结果.
- 将结果信息整合到日常临床实践中至关重要.
- 了解患者对使用结果数据的看法是关键.
研究的目的:
- 评估所感知结果信息使用对共享决策的影响.
- 评估对患者医疗保健体验的影响.
- 确定对治疗可信度和预期结果的影响.
主要方法:
- 从25个手术和手术诊所收集的数据.
- 根据在咨询期间对结果信息的感知使用情况分组的患者.
- 倾向性得分匹配 (3:1比率) 用于对混杂物进行控制.
主要成果:
- 结果信息组显示了更大的共享决策 (Cliff的三角形0.33).
- 患者在所有测量项目中报告了更好的体验.
- 观察到治疗可信度增加 (Cliff's delta 0.26) 和对结果的积极预期 (Cliff's delta 0.21).
结论:
- 对结果信息的感知使用增强了共享决策和患者体验.
- 它还提高了治疗的可信度和结果的预期.
- 建议将结果信息整合到日常护理中,以支持基于价值的医疗保健原则.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
相关概念视频
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Role of Communication in the Nursing Process II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nursing Evaluation
Role of Communication in the Nursing Process III: Evaluation and Documentation
Patient-centered Care
