儿童睡眠呼吸障碍的决策辅助:一个随机试验
Purcell Chad1, Corsten Gerard2, Hong Paul2
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
International journal of pediatric otorhinolaryngology
|February 23, 2025
概括
儿童睡眠呼吸障碍 (SDB) 的决策辅助 (DA) 显著减少了父母的决策冲突,并改善了共享决策的感知. 这个工具使父母能够为他们的孩子做出医疗保健选择.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 健康决策科学 医疗科学
背景情况:
- 儿童睡眠呼吸障碍 (SDB) 给父母带来了复杂的治疗决策.
- 共享决策 (SDM) 对于有效的儿科护理至关重要.
- 家长的决策冲突可能会影响治疗的坚持和满意度.
研究的目的:
- 评估决策辅助 (DA) 对家长对SDM的看法的影响.
- 评估DA是否可以减少SDB儿童父母的决策冲突.
- 在这个人群中探索决策冲突和SDM之间的关系.
主要方法:
- 进行了一项前性随机对照试验.
- 101名患有轻度至中度SDB儿童的父母被随机分配到使用DA或不使用.
- 结果包括决策冲突量表 (DCS) 和共享决策问卷 (SDM-Q-9).
主要成果:
- 使用DA的家长报告了显著较低的DCS分数 (p=0.005) 和较高的SDM-Q-9分数 (p=0.035).
- 决策冲突与共享决策有负相关性 (斯皮尔曼的r = -0.680,p < 0.001).
- 两组之间没有观察到OPTION分数的显著差异.
结论:
- 决策援助有效地减少了父母做出SDB治疗决定的决策冲突.
- DA 增强了家长对参与决策过程的看法.
- 研究结果支持使用DA来改善儿科耳鼻喉科的SDM.
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