一个新的决策辅助在肠炎的切除术:集群随机试点和可行性研究
Alexander T Hawkins1,2, Samuel A Younan1, Kemberlee Bonnet3
1Division of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Diseases of the colon and rectum
|July 16, 2025
概括
对于正在接受复发性分泌炎治疗的患者来说,访问前的在线分泌炎决策辅助是可行的. 与通常的护理相比,这种工具显示出决策冲突的减少更大.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 以患者为中心的护理
- 医疗信息学 医疗信息学
背景情况:
- 共同决策对于复发性分泌炎治疗至关重要,平衡医疗和手术选择与患者偏好.
- 需要有效的决策工具来支持患者进行复杂的治疗选择.
研究的目的:
- 评估访问前在线分泌体炎决策援助的可行性.
- 评估决策辅助对以患者为中心的结果的影响,特别是决策冲突.
主要方法:
- 一个集群随机试验试验在一个单一的三级护理中心进行.
- 患有复发性垂炎的患者被随机分配使用在线垂炎决策辅助工具或接受通常的护理.
- 主要结果是决策冲突,次要结果包括决策后悔和共享决策质量.
主要成果:
- 在试点试验中,31名患者 (15名对照患者,16名干预患者) 参与试验.
- 基线决策冲突得分很高 (中位数为48.4).
- 与通常护理组 (中位数7.8) 相比,决策辅助组的决策冲突明显减少 (中位数34.4).
结论:
- 在访问前使用在线决策辅助对于患有复发性分炎的患者来说是可行的.
- 在减少决策冲突方面,决策辅助似乎比通常的护理更有效.
- 需要进行进一步的研究,并进行更长时间的随访.
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