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Updated: Jan 31, 2026

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在泌尿病学中共同决策:SHINE-URO共识框架
Michael van Balken1, Sara MacLennan2, Rodolfo Montironi3
1Rijnstate Hospital, Arnhem, The Netherlands; European Association of Urology Patient Office, Arnhem, The Netherlands.
European urology focus
|January 29, 2026
概括
闪亮-URO框架通过概述以患者为中心的护理的六个核心原则,增强了泌尿器科的共享决策 (SDM). 该框架旨在改善患者和临床医生在治疗选择方面的合作方式.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者为中心的护理
- 分享决策的共同决策.
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要,但在泌尿病学中应用不一致.
- 欧洲泌尿病学协会 (EAU) 患者办公室开始努力在泌尿病学实践中标准化SDM.
研究的目的:
- 在泌尿病学中定义SDM的核心原则.
- 识别阻碍在泌尿器科护理中实施SDM的障碍.
- 制定一个实际的框架来加强SDM.
主要方法:
- 与泌尿科医生,护士和患者倡导者举行了两次共识会议.
- 会议的重点是确定SDM原则和实施障碍.
- 作为一个结果,SHINE-URO框架被开发出来.
主要成果:
- 这一框架包括六个原则:讨论危害/益处,患者价值观,明确信息,安全环境,解决错误信息/技能以及咨询前信息.
- 主要障碍包括时间限制,可访问性问题,职业角色问题,不充分利用"不治疗"选项以及家庭参与不足.
- 建立了一个共识的定义和实施路线图SDM在泌尿病学.
结论:
- 该SHINE-URO框架为泌尿病学中SDM提供了共识定义和路线图.
- 成功采用需要系统支持,资源和培训,以公平,以患者为中心的护理.
- 实施SHINE-URO可以改善患者参与泌尿治疗决策.
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