赋予患者选择权:对良性前列腺增生症决策辅助的系统审查
Charlotte Hollands1, Debra Gray1,2, Andrew Marren1
1Department of Psychology, University of Winchester, Hampshire, UK.
BJU international
|May 27, 2025
概括
良性前列腺增生症 (BPH) 的决策辅助工具往往缺乏以患者为中心. 有效的干预措施需要明确与行为理论和患者价值观的联系,以改善泌尿器科护理中的共享决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康心理学 心理健康心理学
- 决策科学 决策科学 决策科学
背景情况:
- 良性前列腺增生症 (BPH) 影响着数百万男性,由于不同的治疗选择,需要共享决策.
- 当前的做法往往未能在BPH管理中充分纳入患者的优先事项和偏好.
- 症状性BPH需要仔细考虑患者的价值以及临床信息.
研究的目的:
- 评估现有的决定性干预措施 (DAs) 对症状良性前列腺增生 (BPH) 的男性.
- 为了区分BPH特异性的DA与用于前列腺癌的DA.
- 评估目前的DA与二级医疗保健中共享决策原则的协调程度.
主要方法:
- 通过对10个主要数据库进行系统的文献搜索,得出了1979年的结果.
- 包括13项国际研究,重点关注BPH的10种不同的决策辅助工具 (DA).
- 资格标准是针对具有泌尿症状的成年男性和促进共享决策的DA.
主要成果:
- 大多数DA主要提供治疗信息,风险数据呈现不一致.
- 很少有DA显示出与行为变化,风险沟通或决策理论有很强的联系.
- 有效的DA使用行为改变技术 (BCT) 整合了患者的偏好和价值观.
结论:
- 目前的BPH决策辅助工具往往缺乏以患者为中心的重点,阻碍了个性化护理.
- 提高透明度和明确与行为理论的联系对于有效的干预设计至关重要.
- 未来的DAs必须整合患者的价值观和期望,以改善在泌尿器科实践中的实施.
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