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共享决策对患有复发性肺炎的儿童过渡期准备的影响
Fan Zhang1, Nan Li1, Yang Kang1
1Department of Pediatrics, The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang, China.
Frontiers in medicine
|October 3, 2025
概括
共享决策 (SDM) 显著改善了复发性肺炎儿童的过渡准备和生活质量. 这种方法支持以患者为中心的护理和精准医学策略.
科学领域:
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
- 精准医学是一门精准的医学.
背景情况:
- 复发性肺炎给儿童的过渡期护理带来了挑战.
- 优化过渡期准备对于改善长期健康结果至关重要.
- 共享决策 (SDM) 越来越多地被认为是以患者为中心的护理中的潜力.
研究的目的:
- 评估SDM对患有复发性肺炎的儿科患者过渡期准备的影响.
- 评估SDM对患有复发性肺炎的儿童生活质量的影响.
- 探索SDM在精准医学框架中的作用.
主要方法:
- 一个追溯的队列研究设计,遵循STROBE指南.
- 包括2023年1月至2025年2月期间因复发性肺炎住院的124名儿童.
- 对照组 (标准护理) 与观察组 (SDM干预) 进行过渡准备和PedsQL 4.0分的比较,分别在干预前,1个月和退院3个月.
主要成果:
- 随着时间的推移,过渡准备显著改善,对时间,群体及其相互作用有显著的影响 (P < 0.05).
- 与对照组相比,SDM干预组始终表现出更高的过渡准备水平.
- 生活质量得分 (PedsQL 4.0) 也显示显著改善,有利于SDM组 (P < 0.05).
结论:
- 共享决策是一种有效的策略,可以提高患有复发性肺炎的儿童的过渡准备和生活质量.
- 这些发现强调了SDM在精准医学中的价值,将护理量身定制为个体患者的需求.
- 建议包括进一步进行纵向研究,为医疗保健专业人员提供SDM培训,以及制定政策以支持以患者为中心的护理.
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