创建一个乳房镜会话帮助临床医生和75岁及以上的妇女之间的共同决策
Mara A Schonberg1, Natasha K Stout2, Sarah Stein2
1Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Journal of the American Geriatrics Society
|April 15, 2025
概括
一个新的基于网络的工具支持共享决策 (SDM) 对于75岁及以上妇女的乳房扫描查. 该援助提供了个性化的查结果,赋予了有关乳腺癌查的知情选择权.
科学领域:
- 老年医学 老年医学
- 预防医学 预防医学
- 医疗信息学 医疗信息学
背景情况:
- 准则建议在75岁及以上的妇女进行乳房扫描查时进行共享决策 (SDM).
- 在这个人口群体中,个性化的风险-收益信息对于明智的查决策至关重要.
研究的目的:
- 开发和评估一个基于网络的对话辅助SDM关于乳房扫描查在75岁以上的女性.
- 将个人健康和乳腺癌风险因素纳入查结果预测中.
主要方法:
- 用以终端用户为中心的设计方法来创建一个原型对话辅助器.
- 10名初级保健医生 (PCP) 在临床接触期间与30名患者 (≥75岁) 使用了辅助器.
- 使用OPTION5评估了临床人员在SDM方面的努力,并调查了患者/PCP的满意度.
主要成果:
- 该援助被大多数PCP视为有用和易于使用,促进了高水平的SDM (平均OPTION5=77.9).
- 患者报告了高质量的SDM体验 (SDM过程中平均得分=3.0).
- 讨论导致了各种各样的查意图:7人停止,9人减少查,14人继续定期.
结论:
- 一个新的基于网络的对话辅助工具有效地支持SDM对75岁及以上的女性进行乳房扫描查.
- 学到的经验教训将为在临床试验中测试的最终工具的修订提供信息.
相关概念视频
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.4K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.4K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.6K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.6K
Barriers to Effective Communication II
3.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.5K


