对慢性病患者的治疗决策进行交互式决策辅助:一项前性探索性试点研究
Jun-Ming Su1, Huey-Liang Kuo2,3, Kai-Ling Yang2
1Department of Information and Learning Technology, National University of Tainan, Tainan City, Taiwan.
Digital health
|April 3, 2025
概括
一个交互式应用程序显著改善了慢性病患者选择替代疗法的决策. 与传统方法相比,数字工具增强了信心和知识,同时减少了遗憾.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗信息学 医疗信息学
- 健康决策科学健康科学
背景情况:
- 晚期慢性病 (CKD) 需要对置换疗法 (KRT) 做出复杂的决定.
- 患者在选择KRT选项时经常与决策自我有效性,知识和决策冲突作斗争.
研究的目的:
- 评估替代疗法 (iPtDA-KRT App) 交互式患者决策辅助应用程序的有效性.
- 评估应用程序对高级CKD患者的决策自我有效性,知识,准备,决策冲突和遗憾的影响.
主要方法:
- 一个前性的,双臂临床试验,涉及70名晚期CKD患者.
- 基于移动应用程序的iPtDA-KRT与纸质患者决策辅助器 (PtDA) 在4周内进行的比较.
- 评估决策的自我有效性,决策冲突,KRT知识,做好决策准备,以及在多个时间点对决策的遗憾.
主要成果:
- 而iPtDA-KRT组在自我效能,知识和决策准备方面表现出明显更大且持续的改善.
- 随着时间的推移,实验组的决策冲突和遗憾持续减少.
- 移动应用程序干预措施在支持患者决策方面被证明优于纸质工具.
结论:
- 该iPtDA-KRT应用程序为做出复杂的KRT决策的患者提供了实质性和持久的好处.
- 数字化,交互式的患者决策辅助工具可以增强知情决策和患者的信心.
- 这些发现支持使用数字工具来减少临床环境中长期的决策冲突.
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