一个随机对照试验,以评估在预防跌倒的背景下创新的决策支持
L Westerbeek1,2, A J Linn3,4, H C van Weert4,5
1Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, The Netherlands. l.westerbeek@uva.nl.
NPJ digital medicine
|July 11, 2025
概括
在SNOWDROP干预改善了共享决策和患者满意度的老年人因药物导致跌倒的风险. 这种技术支持的方法增强了患者和全科医生之间关于药物处方的沟通.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 临床药房 临床药房
背景情况:
- 跌倒是老年人受伤的重要原因之一.
- 药物使用是这一群体中跌倒的关键可修改的风险因素.
- 需要有效的减压策略来减轻与药物相关的跌倒风险.
研究的目的:
- 为了评估SNOWDROP干预措施在有跌倒风险的老年人中的有效性.
- 评估干预对共享决策,患者满意度和决策冲突的影响.
- 探索干预对患者对药物和药物变化的信念的影响.
主要方法:
- 集群随机对照试验在六个一般诊所进行.
- 包括84名老年患者 (平均年龄78.01岁) 与他们的全科医生讨论与药物相关的跌倒风险.
- 利用全科医生的临床决策支持系统和患者门户,通过问卷和录音咨询收集数据.
主要成果:
- 通过SNOWDROP干预,一般医生和患者的共同决策能力显著提高 (p < 0.001).
- 患者报告说,他们对沟通的满意度增加 (p = 0.001),决策冲突减少 (p < 0.001).
- 患者的药物信念保持稳定,对药物变化的影响是不确定的.
结论:
- 斯诺德罗普干预措施在增强患者-GP沟通和老年人药物审查的共享决策方面表现有前途.
- 技术驱动的干预措施可以支持抑郁症的努力,并改善患者的体验.
- 需要进一步的研究来探索对药物使用和预防跌倒的长期影响.
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