护理学报 ›› 2024, Vol. 31 ›› Issue (7): 32-35.doi: 10.16460/j.issn1008-9969.2024.07.032
白雅萍, 施婧
摘要: 目的 综述国内外共享决策在心脏瓣膜病介入治疗患者的研究现状,以供临床实践参考。方法 复习文献,介绍了心脏瓣膜病介入治疗前,患者和医护人员参与共享决策的态度、影响因素,及其应用实践策略,如人员团队、观点共识、评估工具和实施效果等具体的策略。结果 有限的证据证明,共享决策有助于提高疾病知晓率和治疗依从性,减少决策后悔与冲突,改善患者健康结局。结论 共享决策已经达成国际共识,并得到广泛支持,目前共享决策在国内的心脏瓣膜病介入治疗领域相关研究很少,缺少本土化的专适性共享决策辅助工具和制定相应的核心能力标准和职责规范,有待进一步研发。
中图分类号:
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