增强同意和准备手术:一个随机对照试验
Carson F Woodbury1, Hayley C Barnes1, Menaka Yadav1
1Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, IL.
Urogynecology (Philadelphia, Pa.)
|February 13, 2026
概括
泌尿外科手术的视听决策辅助器 (AVDA) 没有改善患者的准备能力,无论健康素养如何. 在AVDA和标准同意组中,准备程度仍然很高.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 医学教育 医学教育
- 患者沟通 患者沟通
背景情况:
- 之前在泌尿后科的患者决策辅助器没有显示任何益处,可能是由于读数水平很高.
- 有效的患者沟通对于手术准备和满意度至关重要.
研究的目的:
- 评估视听决策辅助器 (AVDA) 在八年级以下的阅读水平是否会影响泌尿外科患者的手术准备.
- 评估健康素养和准备能力之间的相关性.
- 测量患者对手术决定的满意度.
主要方法:
- 一项随机对照试验将AVDA使用与骨盆器官脱落或尿失禁手术的标准知情同意进行了比较.
- 使用"手术前手术准备"问卷测量了准备程度.
- 还评估了健康素养和术后满意度.
主要成果:
- 在AVDA和标准同意组之间没有发现外科准备的显著差异 (98.7%的准备).
- 即使在健康素养较低的患者中,准备程度仍然很高.
- 两组都报告了对手术决定的高满意度.
结论:
- 以较低的读数级编写的AVDA并没有显著提高泌尿外科患者的手术准备.
- 在干预组和对照组中观察到高水平的准备和满意度.
- 未来的决策辅助可能需要不同的方法来证明显著的好处.
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