在膝关节骨关节炎中共享决策和患者决策辅助:范围审查
Ethan Wang1, Amber Stefanski2, Tsz King Donald Chow2
1Saint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA. ethan.wang@health.slu.edu.
Knee surgery & related research
|February 24, 2026
概括
患者决策辅助工具可以改善膝关节骨关节炎管理的共享决策. 然而,诸如临床医生的时间有限和工具可用性等障碍需要解决,以实现更广泛的采用.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 在膝关节骨关节炎 (KOA) 中,共同决策 (SDM) 对于将治疗与患者偏好协调至关重要.
- 目前在KOA管理中的SDM实践需要审查.
研究的目的:
- 检查膝关节骨关节炎 (KOA) 管理中共享决策 (SDM) 的当前实践.
- 确定患者决策辅助工具 (PDA) 的使用情况,结果措施,以及KOA的SDM中的障碍.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2025年8月.
- 包括的研究分析了使用PDAs,SDM结果措施和实施因素.
主要成果:
- 包括69项研究,其中44项描述了PDA使用.
- 结果包括决策质量,决策冲突和患者与临床医生的沟通.
- 发现的障碍是临床医生的时间有限,PDA意识低,以及数字工具可用性问题.
结论:
- 患者决策辅助工具在KOA中增强患者参与度和知情决策方面表现有前途.
- 在SDM实施和结果测量的变化需要进一步研究PDA有效性.
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