专家就改善患者激活和肺动脉高血压患者共同决策的患者参与策略达成共识
John J Ryan1, Melisa Wilson2, Rajan Saggar3
1University of Utah, Salt Lake City, Utah.
Journal of the American Association of Nurse Practitioners
|December 19, 2025
概括
患者参与和共享决策 (SDM) 改善了肺动脉高血压 (PAH) 的结果. 制定了战略,以赋予患者在PAH管理中的权力,解决诸如症状负担和健康素养等障碍.
科学领域:
- 肺动脉高血压 (PAH) 的管理
- 患者参与和共享决策 (SDM)
背景情况:
- 改善疾病结果与患者参与度有关.
- 需要了解和促进患者参与和PAH的SDM.
- 肺动脉高血压 (PAH) 需要有效的患者参与,以更好地管理.
研究的目的:
- 建立专家的共识,加强患者参与和PAH的SDM的战略.
- 为整合患者参与到PAH护理中制定可行的建议.
主要方法:
- 使用了经过修改的Delphi小组方法,涉及美国医生,高级实践提供者和管理PAH的注册护士.
- 达成共识的过程包括两轮调查和一个虚拟会议.
- 共识被定义为在9点利克特级别上≥80%的共识.
主要成果:
- 参与患者积极参与SDM,导致更好的PAH疾病管理.
- 提供者鼓励和社会支持是患者参与的关键动机.
- 参与的障碍包括症状严重程度,药物副作用,健康素养不佳和财务负担.
- 改善关于风险评估的沟通和解决健康素养问题至关重要.
- 涉及患者和家属的行动计划,以及对PAH的患者教育,对于SDM至关重要.
结论:
- 专家们就SDM的重要性以及促进患者参与PAH管理的策略达成共识.
- 解决已识别的需要改进的领域可以促进更多的患者和护理人员参与,倡导他们在PAH护理中的目标和偏好.
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