评估避孕措施的质量和沟通方面有助于决策
Bonnie H Bowie1, Bridget Hiedemann2, Erin Vernon2
1Seattle University, College of Nursing, Seattle, WA, United States.
Contraception
|July 23, 2025
概括
电子避孕决定辅助器的质量各不相同. 许多药物未能清楚地说明疗效,有效性和禁忌,阻碍了患者的决策.
科学领域:
- 生殖健康 生殖健康
- 医疗信息学 医疗信息学
- 患者的决策辅助工具
背景情况:
- 电子患者决策辅助器 (ePDA) 越来越多地用于支持医疗保健选择.
- 避孕决定辅助工具旨在帮助个人选择最合适的避孕方法.
- 评估这些工具的质量和沟通效果至关重要.
研究的目的:
- 评估公开可用的交互式电子避孕决策辅助器的质量和沟通方面.
- 确定这些工具如何向患者提供信息的优点和弱点.
主要方法:
- 搜索了MEDLINE,CINAHL和太华决策辅助图书馆目录的决策辅助工具.
- 包括免费的,互动的,英语在线和移动避孕决定辅助器 (2024年4月).
- 使用国际患者决策辅助标准 (IPDAS) 清单和修改的沟通方面清单对辅助产品进行评估.
主要成果:
- 大多数决策辅助工具 (8/13) 提供了逐步的决策过程.
- 虽然85% (11/13) 针对的是疗效/有效性,但只有23% (3/13) 提出了两种概率集合.
- 大多数 (8/13) 提到禁忌,除了一个 (12/13) 之外的所有讨论副作用.
结论:
- 避孕决定辅助工具在质量,信息呈现和个性化方面表现出差异.
- 许多辅助器不充分地传达了关于有效性,有效性和禁忌的关键信息.
- 未来的避孕决定辅助工具需要在这些领域进行改进,以加强患者的决策.
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