摘要
目的 探讨信息共享辅助决策干预在膝关节置换患者中的应用效果.方法 采用便利抽样法,选择2022年1-12月在新乡市中心医院骨科住院行膝关节置换的患者94例,根据随机数字表法分为对照组和观察组,各47例.对照组采取常规临床决策管理,观察组在对照组基础上实施信息共享辅助决策干预.术后第5天采用决策参与期望量表(CPS)、中文版决策准备量表(PreDM)、决策参与满意度量表评估两组患者决策参与情况、决策准备度和决策满意度.结果 对照组决策参与主动型、合作型、被动型分别占 21.28％(10/47)、27.66％(13/47)、51.06％(24/47),观察组分别占 42.55％(20/47)、44.68％(21/47)、12.77％(6/47),两组决策参与情况分布差异有统计学意义(P＜0.01);观察组PreDM得分和决策参与满意度得分均高于对照组,差异均有统计学意义(P＜0.01).结论 信息共享辅助决策干预可以有效改善膝关节置换患者的决策参与度,提高患者决策准备度和满意度.
Abstract
Objective To explore the application effect of information sharing assisted decision-making intervention in knee replacement patients.Methods A total of 94 inpatients undergoing knee replacement in Department of Orthopedics in Xinxiang Central Hospital from January to December 2022 were selected by the convenient sampling method,and they were divided into the control group and the observation group according to random number table method,with 47 cases in each group.The control group adopted routine clinical decision-making management,while the observation group implemented information sharing assisted decision-making intervention based on the control group.On the 5th day after surgery,Control Preference Scale(CPS),Chinese version of Preparation Decision Making Scale(PreDM)and Decision Participation Satisfaction Scale were used to evaluate the decision participation,decision readiness and decision satisfaction of patients in two groups.Results In the control group,active,cooperative and passive decision-making participation accounted for 21.28％(10/47),27.66％(13/47)and 51.06％(24/47),respectively.In the observation group,42.55％(20/47),44.68％(21/47)and 12.77％(6/47)of the participants were active,cooperative and passive,respectively.There was a statistically significant difference in the distribution of decision participation between the two groups(P＜0.01).The PreDM score and decision participation satisfaction score of the observation group were higher than those of the control group,and the differences were statistically significant(P＜0.01).Conclusions Information sharing assisted decision-making intervention can effectively improve the decision-making participation of knee replacement patients and improve their decision-making readiness and satisfaction.
基金项目
河南省医学科技攻关计划项目(LHGJ20200949)
NETL
NSTL
万方数据