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为中国初级角关闭患者开发的患者决策辅助的效果:随机对照试验

Yijie Chen¹, Shaodan Zhang², Yiwen Sun¹

¹School of Ophthalmology and Optometry, Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.

Patient preference and adherence

|October 14, 2025

概括

患者决策辅助器 (PDA) 显著减少了决策冲突,并改善了考虑激光外周 iridotomy (LPI) 的初级角度关闭 (PAC) 或初级角度关闭可疑 (PACS) 的患者的知识. 该PDA授权对LPI治疗选择进行知情决策.

科学领域:

眼科医生眼科眼科
医疗决策的制定医疗决策的制定
医疗信息学医疗信息学

背景情况:

主角闭合 (PAC) 和主角闭合疑似 (PACS) 是需要治疗决策的条件,通常涉及激光外周 iridotomy (LPI).
有效的患者决策辅助工具 (PDA) 对于向患者提供LPI等治疗选择的信息至关重要.

研究的目的:

评估PDA对PACS或PAC评估LPI的患者的决策过程的影响.
为了确定PDA是否影响与LPI治疗相关的决策冲突,知识,满意度和遗憾.

主要方法:

一项随机对照试验涉及107名参与者,他们接受了PACS或PAC.
参与者被分配到对照组 (知情同意表) 或干预组 (PDA).
干预后测量了决策冲突,知识,满意度和决策后悔.

主要成果:

使用PDA的干预组显示出明显较低的决策冲突得分 (P < 0.001).
接受PDA的患者表现出显著更高的知识分数 (P < 0.001).
两组之间没有发现患者满意度或决策后悔的显著差异.

结论:

一个PDA有效地提高了患者的理解,并减少了个人与PACS或PAC考虑LPI的决策冲突.
在眼科治疗决策中,PDA是支持知情选择的宝贵工具.

关键词:

这是一个决定性冲突.激光外周性皮质切除术是指外周性皮质切除术.帮助患者做出决策的帮助.主角关闭的主要角度关闭.主要角度封闭嫌疑人的主要角度封闭

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