实施患者决策辅助工具,用于医院中风患者的出院计划:使用混合方法方法的过程评估
J C M Prick1, E G Engelhardt2, F K Lansink Rotgerink2
1Santeon, Utrecht, the Netherlands; Department of Neurology, OLVG, Amsterdam, the Netherlands.
Patient education and counseling
|March 29, 2025
概括
为中风患者实施患者决策辅助 (PtDA) 改善了医疗保健专业人员 (HCP) 参与和自信时的共享决策 (SDM). 整个团队的参与是成功采用PtDA在中风治疗中的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
- 临床实施科学 临床实施科学
背景情况:
- 在出院计划期间,共享决策 (SDM) 对中风患者至关重要.
- 患者决策辅助工具 (PtDAs) 可以支持SDM,但它们的实施需要仔细评估.
研究的目的:
- 评估荷兰医院中PtDA的实施,以促进中风患者的SDM.
- 评估PtDA的使用情况,SDM过程以及影响医疗保健专业人员 (HCP) 采用的因素.
主要方法:
- 在七家医院进行了混合方法的过程评估.
- 数据收集包括医院注册,PtDA日志,SDM的OPTION-5分数,障碍的MIDI问卷和HCP采访.
主要成果:
- 在不同医院中,PtDA的使用有很大差异 (10-96%的患者接受了它).
- 通过OPTION-5评分来衡量SDM水平,在实施后仍然很低.
- 障碍包括缺乏团队参与和感知到的PtDA好处;频繁使用与医疗保健工作者信心相关.
结论:
- 在中风护理中成功实施PtDA需要整个团队的参与和明确沟通PtDA的好处.
- 提高医疗保健工作者对SDM的信心和自我效能对于有效的PtDA采用至关重要.
- 强调积极的SDM结果和患者的好处可以鼓励医疗保健人员将PtDA纳入实践.
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