为患有晚期慢性病的患者开发和测试一个互动的患者决策辅助应用程序的可用性
Ya-Fang Ho1, Huey-Liang Kuo2, Kai-Ling Yang3
1School of Nursing, China Medical University, No. 100, Sec 1, Jingmao Rd., Taichung 406040, Taiwan.
International journal of medical informatics
|April 27, 2025
概括
一个交互式的数字患者决策辅助应用程序改善了高级慢性病患者选择替代疗法的知识和决策准备. 这种工具对知情决策充满希望.
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
- 卫生沟通健康沟通
背景情况:
- 患者决策辅助工具 (PtDAs) 支持知情的医疗保健选择,但传统的纸质格式面临局限性.
- 数字PtDA提供了潜在的优势,但它们在考虑置换疗法 (KRT) 的晚期慢性病 (CKD) 患者的应用尚未得到充分探索.
研究的目的:
- 为晚期CKD患者开发和评估一个互动的数字患者决策辅助应用 (iPtDA-KRT App).
- 评估应用程序对患者知识,决策冲突和关于KRT的决策准备能力的影响.
主要方法:
- 该研究涉及原型开发,患者和专家提供了意见 (n=22).
- 一个试点测试包括45名参与者 (24名患者,21名医疗保健提供者).
- 患者使用了iPtDA-KRT应用程序或纸质PtDA,进行干预前后调查以测量结果. 医疗保健提供者评估了应用程序的实用性.
主要成果:
- 与纸质辅助工具相比,iPtDA-KRT App显著提高了患者的知识,决策准备,并减少了决策冲突.
- 患者发现该应用程序易于使用,有利于决策.
- 医疗保健提供者报告高满意度,特别是临床医生.
结论:
- iPtDA-KRT应用程序是一个有前途的工具,用于支持晚期CKD患者的KRT决策.
- 试点研究结果表明有效性,但由于样本规模小,建议谨慎.
- 需要进行更大规模的研究来验证这些结果.
相关概念视频
01:17Factors Affecting Renal Clearance: Renal Impairment
30
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
30
01:27Dialysis
228
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
228
01:11Renal Failure: Dose Adjustments
34
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
34