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准备实施 hip 骨折手术麻醉的共享决策:一个定性面试研究

Eliana C Goldstein¹, Mark D Neuman², Viktoria Vonder Haar¹

¹Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.

British journal of anaesthesia

|February 11, 2025

概括

在关节骨折手术中的麻醉选择的共同决策得到了患者和临床医生的支持. 交谈辅助工具可以帮助克服时间和机构文化等障碍,改善患者护理.

科学领域:

麻醉学麻醉学
医疗保健服务研究医疗服务研究
患者参与患者参与

背景情况:

在麻醉咨询中,共享决策 (SDM) 尚未得到充分利用.
关节骨折手术往往允许脊柱或全身麻醉,使其成为SDM实施的理想选择.
对话辅助工具可以支持SDM进行麻醉选择.

研究的目的:

为了准备实施在关节骨折手术中麻醉决策的对话辅助.
收集关于SDM的反和建议的对话辅助工具,比较脊髓和全身麻醉.

主要方法:

与临床医生,患者和护理人员进行了半结构化的定性访谈.
在2024年4月至9月期间,在七个地点进行了采访.
反侧重于SDM和对麻醉选择的对话辅助.

主要成果:

鉴定了在麻醉选择中对SDM的广泛支持,尽管目前使用率不足.
关键的障碍包括机构文化,临床医生的假设和时间限制.
开发了一个对话辅助工具,结合最终用户的建议,克服障碍,促进SDM.

结论:

对话辅助工具被视为有价值的工具,以支持SDM在关节骨折修复中的麻醉选择.
吸引当地最终用户对于有效解决实施障碍至关重要.

关键词:

一般麻醉全身麻醉关节骨折手术关节骨折手术实施科学实施科学以患者为中心的护理.共享决策的共同决策脊髓麻醉脊髓麻醉

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