患者决策辅助器在白内障手术中对眼内镜片选择的影响
Weijia Chen1, Jingyao Dai2, Xiaoxue Ming1
1School of Ophthalmology and Optometry, Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Patient education and counseling
|March 11, 2026
概括
用于眼内透镜 (IOL) 选择的患者决策辅助器 (PDA) 显著改善了白内障手术患者的决策准备,共享决策 (SDM) 和对决策的满意度.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 患者的决策制定 患者的决策
背景情况:
- 白内障手术涉及眼内透镜 (IOL) 选择,这对患者来说可能是复杂的决定.
- 有效的患者决策辅助工具 (PDA) 对于促进共享决策 (SDM) 和提高患者满意度至关重要.
- 优化IOL选择过程对于改善患者的治疗结果和体验至关重要.
研究的目的:
- 评估PDA在白内障手术中用于IOL选择的有效性和可用性.
- 评估PDA对决策准备 (PrepDM),SDM和对决策的满意度 (SWD) 的影响.
- 为促进SDM和增强眼科手术患者决策满意度提供见解.
主要方法:
- 一项准实验性研究涉及中国一家眼科医院的210名白内障手术患者.
- 患者被分为两组:接受常规护理的对照组和接受PDA的干预组,用于IOL选择加上常规护理.
- 使用决策准备 (PrepDM) 尺度,九项共享决策问卷 (SDM-Q-9) 和决策满意度 (SWD) 仪器来衡量结果.
主要成果:
- 使用PDA的干预组在PrepDM尺度上显示了显著更高的得分 (中位数为60对30,P<0.001).
- 接受PDA的患者在SDM-Q-9上也表现出更好的表现 (中位数为77.78比68.89,P<0.001).
- PDA组报告了对决策的更高满意度 (SWD仪器中位数为24对22,P<0.001).
结论:
- IOL选择的PDA在支持白内障手术患者方面是有效的.
- 该PDA的实施导致了加强患者准备,改进SDM和提高决策满意度.
- 使用PDA可以显著提高患者参与度和白内障手术环境中的决策质量.
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