对系统性红斑狼实施共享决策辅助的患者结果:一项前性实施研究
Jasvinder A Singh1, Larry R Hearld2, Seth Eisen3
1Medicine Service, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX, USA; Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
一种新的决策辅助工具改善了系统性红斑狼 (SLE) 患者的结果,增强了共享决策和沟通. 该工具对所有SLE表现都有效,并作为免费应用程序提供.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 以患者为中心的护理
背景情况:
- 系统性红斑狼 (SLE) 患者的决策数据有限.
- 以前的研究表明,基于证据的SLE决策援助改善了狼性炎的决策冲突.
- 这项研究评估了实施SLE疾病管理决策援助的更广泛的患者结果.
研究的目的:
- 评估SLE患者决策辅助对患者决策冲突,共享决策和患者提供者沟通的影响.
- 在现实临床环境中评估决策辅助的可接受性和可行性.
- 为了确定结果是否会随着时间的推移而持续.
主要方法:
- 一项在15家美国风湿病诊所进行的前性实施研究.
- 患有SLE的成年患者通过平板电脑,网站或应用程序查看了计算机化决策辅助工具 (完整或简化版本).
- 经过验证的调查评估了决策冲突,共享决策,沟通,可接受性和可行性在基线,3个月和6个月.
主要成果:
- 包括1895名SLE患者;平均年龄为44.7岁,93.3%为女性,45.1%为非裔美国人.
- 在基线时,患者的结果是好的/优秀的:决策冲突低 (平均19.5),角色偏好匹配高 (82.8%),良好的共享决策 (平均协作率25.2),和强有力的沟通 (平均82.2).
- 这些积极的结果在3个月和6个月的随访中保持一致.
结论:
- SLE 患者决策辅助器证明了良好的至优秀的患者结果,包括共享决策和可行性.
- 在整个实施期间,结果保持稳定.
- 该决策辅助工具适用于所有SLE表现,可以作为免费的ManageMyLupus智能手机应用程序访问.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Peripheral Artery Disease III: Interprofessional Care
Rheumatic Heart Disease III: Medical Management
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Nephrotic Syndrome II : Assessment and Medical Management
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Rheumatic Heart Disease IV: Nursing Management
