了解紧急部门访客之间关于共享决策的知识
Dirk T Ubbink1, Mitchell F Hock2, Frank W Bloemers3
1Department of Surgery, Amsterdam University Medical Center, Location Academic Medical Center, Amsterdam, the Netherlands.
The American journal of emergency medicine
|November 9, 2025
概括
紧急部门的访客对共享决策 (SDM) 有适度的了解. 高龄和更多的医疗保健经验预测了更好的SDM理解,这表明需要有针对性的患者教育.
科学领域:
- 医疗保健研究的研究.
- 患者为中心的护理
- 临床决策的过程
背景情况:
- 共享决策 (SDM) 是以患者为中心的护理的核心.
- 在紧急部门 (ED) 实施SDM是困难的,因为时间限制和急性条件.
- 患者的理解有限可能会阻碍SDM参与.
研究的目的:
- 评估紧急部门 (ED) 访客对共享决策 (SDM) 的知识.
- 在ED环境中确定影响SDM知识的因素.
- 为未来的干预措施的发展提供信息,以改善急性护理中的SDM.
主要方法:
- 在一所大学医院的ED中进行了一项横截面研究.
- 调查了50名成年患者和陪同人员.
- 用验证的24项SDMKQ问卷测量SDM知识,通过多变量线性回归分析数据.
主要成果:
- SDMKQ的平均得分为71.1%.
- 年龄较大的参与者 (48-57岁),女性,以及那些事先多次去看医生的参与者表现出显著更高的SDM知识.
- 根据教育水平或患者与陪同人员的地位,SDM知识没有发现显著差异.
结论:
- 紧急部门的访客对共享决策 (SDM) 有适度的了解.
- 年龄和先前的医疗保健经验是SDM知识的关键预测因素.
- 建议针对年轻和经验较少的患者进行有针对性的教育干预,以加强急性护理机构的SDM.
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