护理人员和多学科团队成员对杜氏肌肉发育不良症共享决策的观点:一种定性研究
Elise Schoefs1, Thomas Desmet2,3, Evelyn Lerinckx2,4
1Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium. elise.schoefs@kuleuven.be.
Orphanet journal of rare diseases
|March 11, 2025
概括
共享决策 (SDM) 对于杜氏肌肉缩症 (DMD) 护理至关重要. 加强信息获取和开发支持工具是改善患者及其家人的SDM的关键.
科学领域:
- 神经学 神经学
- 遗传学 是一个遗传学.
- 患者护理 患者护理
背景情况:
- 新兴的杜申肌力衰竭 (DMD) 疗法需要强大的共享决策 (SDM).
- 了解利益相关者对DMD治疗中的SDM的看法对于比利时医疗保健至关重要.
- 评估当前的SDM实施和识别比利时DMD环境中的障碍/促进者至关重要.
研究的目的:
- 评估比利时利益相关者在DMD治疗决策中对SDM的知识和看法.
- 检查比利时DMD社区中SDM实施的现状.
- 确定影响比利时杜氏肌肉发育不良症护理SDM的障碍和促进因素.
主要方法:
- 在比利时,使用半结构面试对18名多学科团队 (MDT) 成员和11名DMD患者的护理人员进行定性研究.
- 用框架方法对定性数据进行了主题分析.
主要成果:
- 护理人员往往缺乏对SDM的认识,而MDT成员有不同的定义. 参与者认识到SDM的价值,尽管有些人质疑其必要性,因为治疗选择有限.
- 决策主要涉及神经病学家提供信息和寻求同意,MDT通过专业专业知识发挥关键作用.
- 利益相关者强调需要明确的治疗选择,临床试验和日常生活影响的信息,以改善SDM.
结论:
- 确定了对DMD护理和临床试验的可访问信息的需求增加,这表明基于证据的工具有助于增强SDM.
- 开发有针对性的信息工具可以提高利益相关者的理解,并促进DMD护理中的SDM实施.
- 随着DMD治疗的进步,MDT支持对于提供临床试验,情感支持和决策指导的全面信息至关重要.
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