探索提供者和老年人手术共享决策的关键要素
Gabriela Poles1, Mariah Erlick2, Alexis Zimmer1
1University of Rochester, Rochester, NY, USA.
MDM policy & practice
|November 3, 2025
概括
对接受手术的老年人来说,共享决策 (SDM) 是至关重要的,但它仍然是.
科学领域:
- 老年人手术是一门老年人手术.
- 以患者为中心的护理
- 共享决策 共同的决策
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,尤其是面临手术风险的老年人.
- 在手术之前,SDM的利用不足,阻碍了对潜在的生活质量和永久残疾风险的探索.
研究的目的:
- 描述接受手术的老年人SDM的优先事项,障碍,资源和特定年龄方面的考虑.
- 确定老年成人手术患者,护理人员和医疗保健提供者对SDM的观点.
主要方法:
- 五个半结构化的焦点小组与24名参与者 (老年成人手术患者,护理人员和提供者) 进行了调查.
- 对转录的采访进行定性主题分析,以确定关键主题.
主要成果:
- 六个主要主题出现了:组件,障碍,重要性,准备,年龄特定的考虑,以及SDM的改进建议.
- 在关键SDM信息上的患者和提供者意见之间发现了差异.
- 确定了对SDM的最低准备和确定结果的挑战,特别是在紧急情况下.
结论:
- 从患者和提供者的角度来看,确定了关键的SDM组件,障碍和老年人的独特考虑.
- 改善的机会包括资源传播,提供者培训和加强以患者为中心的术后结果讨论.
- 强调需要为处理老年成人患者的外科医生量身定制的SDM工具和培训.
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