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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (5): 35-40.doi: 10.16460/j.issn1008-9969.2019.05.035

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Development of Decision Aid with Ottawa Decision Support Framework for Patients with Implantable Cardioverter Defibrillator

SHI Run-ze1, HAO Yun-xia, FAN Xiu-yun, ZHANG Shu-yan, LI Zheng1, KANG Xiao-feng1   

  1. 1. School of Nursing, Peking Union Medical College, Beijing 100144, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China
  • Received:2018-11-09 Published:2020-07-14

Abstract: Objective To develop a Patient Decision Aid (PtDA) moderating treatment-related uncertainty and helping patients with implantable cardioverter defibrillators (ICDs) to make well-informed decisions. Methods Development of the PtDA was guided by The Ottawa Decision Support Framework (ODSF) and International Patient Decision Aid Standards (IPDAS) quality criteria. After literature analysis, we formulated the draft of PtDA and a revised version was developed after 2-rounds expert consultation. The assessment of the revised PtDA was conducted among patients with ICD and their families and then the final version of PtDA was formed. Results The initial version of PtDA included 6 first-level and 38 second-level indicators. The authority coefficient of two-round expert consultation was 0.91 and coordination coefficient was 0.154 and 0.161 respectively. Tool acceptance testing showed that PtAD was acceptable and practical. The final PtDA consisted of 7 first-level indicators including decision needs assessment, information providing, pros and cons analysis, value clarification, support system, decision-making orientation, and decision confirmation and 41second-level indicators. Conclusion Being scientific and practical, PtAD is the combination of best clinical evidence and patient value, which provides a strategy for problems and difficulties in the decision-making process of ICD patients.

Key words: implantable cardioverter defibrillators, patient decision aid, evidence transformation, shared decision-making

CLC Number: 

  • R473.54
[1] Palacios-Cena D, Losa-Iglesias M E,Alvarez-Lopez C,et al. Patients, Intimate Partners and Family Experiences of Implantable Cardioverter Defibrillators: Qualitative Systematic Review[J]. J Adv Nurs,2011,67(12):2537-2550. DOI:10.1111/j.1365-2648.2011.05694.x.
[2] Saito N,Taru C,Miyawaki I.Illness Experience: Living with Arrhythmia and Implantable Cardioverter Defibrillator[J]. Kobe J Med Sci,2012,58(3):E72-E81.
[3] 郭希娟. 植入型心律转复除颤器患者生活质量及放电体验的研究[D]. 北京:北京协和医学院,中国医学科学院,清华大学医学部,2015.
[4] George J, Devi P,Kamath D Y,et al.Patterns and Determinants of Cardiovascular Drug Utilization in Coronary Care Unit Patients of a Tertiary Care Hospital[J]. J Cardiovasc Dis Res, 2013, 4(4):214-221. DOI:10.1016/j.jcdr.2013.12.001.
[5] Bryant J, Brodin H,Loveman E,et al.The Clinical and Cost-effectiveness of Implantable Cardioverter Defibrillators: A Systematic Review[J]. Health Technol Assess,2005,9(36): 1-150.
[6] 宿燕岗. 国内埋藏式心脏转复除颤器临床应用面临的问题[J]. 中国心脏起搏与心电生理杂志,2012, 26(5):377-380.
[7] 方婷,庄一渝,张秀伟. ICU患者及家属决策参与临床应用研究进展[J]. 护理学杂志, 2016,31(6):109-112. DOI:10.3870/j.issn.1001-4152.2016.06.109.
[8] Salzburg Global Seminar.Salzburg Statement on Shared Decision Making[J]. BMJ,2011(342):d1745.DOI:10.1136/bmj.d1745.
[9] Mitka M.New Guidance for ICD Implantation Offers Decision Aids for Physicians and Patients[J]. JAMA, 2013,309(16):1671-1672. DOI:10.1001/jama.2013.3541.
[10] Goetz P W, Grady K L, Yancy C W.The ICD and Shared Decision Making: Nothing is Ever Easy[J]. J Card Fail,2017,23(11):800-801. DOI:10.1016/j.cardfail.2017.05.012.
[11] Go A S, Mozaffarian D, Roger V L, et al.Heart Disease and Stroke Statistics-2014 Update: A Report from the American Heart Association[J]. Circulation,2014,129(3):e28-e292. DOI:10.1161/01.cir.0000441139.02102.80.
[12] Carroll S L, Mcgillion M,Stacey D,et al.Development and Feasibility Testing of Decision Support for Patients Who are Candidates for a Prophylactic Implantable Defibrillator: A Study Protocol for a Pilot Randomized Controlled Trial[J].Trials,2013(14):346.DOI:10.1186/1745-6215-14-346.
[13] 张锦玉,周洁,袁长蓉. 乳腺癌患者参与照护决策的研究进展[J]. 解放军护理杂志, 2016,33(15):45-48.DOI:10.3969/j.issn.1008-9993.2016.15.012.
[14] 孟颖,盖百娟,阚丽丽,等. 治疗决策辅助对肺癌患者决策困难和焦虑、抑郁的影响[J]. 中华现代护理杂志,2018,24(14):1692-1695. DOI:10.3760/cma.j.issn.1674-2907.2018.14.021.
[15] 方汉萍,张严丽,余洪兴,等. 功能锻炼决策辅助在髋膝关节置换术患者加速康复中的应用[J]. 护理学杂志,2018,33(4):11-13.DOI:10.3870/j.issn.1001-4152.2018.04.011.
[16] 牟玮,翟静波,李杰,等. 中医临床证据的转化策略一决策辅助工具的研制[J]. 世界中医药,2017,12(6):1261-1267.
[17] 李玉. 早期原发性肝癌患者治疗决策辅助方案的构建与应用研究[D]. 上海:第二军医大学,2017.
[18] The Ottawa Hospital. Ottawa Decision Support Framework: Update, Gaps and Research Priorities[EB/OL]. (2010-05-26)[2018-10-12].https://decisionaid.ohri.ca/docs/ODSF-workshop/ODSF-Workshop-Summary.pdf.
[19] van Weert J C,van Munster B C,Sanders R,et al. Decision Aids to Help Older People Make Health Decisions: A Systematic Review and Meta-analysis[J]. BMC Med Inform Decis Mak,2016,16(1):45.DOI:10.1186/s12911-016-0281-8.
[20] O'Connor A M,Stacey D,Barry M J,et al. Do Patient Decision Aids Meet Effectiveness Criteria of the International Patient Decision Aid Standards Collaboration? A Systematic Review and Meta-analysis[J]. Med Decis Making,2007,27(5):554-574. DOI:10.1177/0272989X07307319.
[21] 潘靖菁,高钰琳,王惠珍,等. 本科护生临床带教老师核心能力体系构建研究[J]. 护理学报, 2018,25(9):1-7. DOI:10.16460/j.issn1008-9969.2018.09.001.
[22] Rhee H, Miner S, Sterling M,et al.The Development of an Automated Device for Asthma Monitoring for Adolescents: Methodologic Approach and User Acceptability[J]. JMIR Mhealth Uhealth,2014,2(2):e27.DOI:10.2196/mhealth.3118.
[23] Korteland N M, Ahmed Y,Koolbergen D R,et al.Does the Use of a Decision Aid Improve Decision Making in Prosthetic Heart Valve Selection?[J]. Circ Cardiovasc Qual Outcomes,2017,10(2):e3178.DOI:10.1161/CIRCOUTCOMES.116.003178.
[24] Van Scoy L J,Green M J,Dimmock A E,et al. High Satisfaction and Low Decisional Conflict with Advance Care Planning Among Chronically Ill Patients with Advanced Chronic Obstructive Pulmonary Disease or Heart Failure Using an Online Decision Aid: A Pilot Study[J]. Chronic Illn,2016,12(3):227-235.DOI:10.1177/1742395316633511.
[25] El-Jawahri A, Paasche-Orlow M K,Matlock D,et al. Randomized, Controlled Trial of an Advance Care Planning Video Decision Support Tool for Patients with Advanced Heart Failure Clinical Perspective[J]. Circulation,2016,134(1):52-60.
[26] Coylewright M, Dick S, Zmolek B,et al.PCI Choice Decision Aid for Stable Coronary Artery Disease[J]. Circ Cardiovasc Qual Outcomes,2016, 9(6):767-776.DOI:10.1161/CIRCOUTCOMES.116.002641.
[27] Hess E P, Hollander J E, Schaffer J T,et al.Shared Decision Making in Patients with Low Risk Chest Pain: Prospective Randomized Pragmatic Trial[J]. BMJ, 2016(355):i6165. DOI:10.1136/bmj.i6165.
[28] Hess E P, Knoedler M A, Shah N D,et al.The Chest Pain Choice Decision Aid: A Randomized Trial[J]. Circ Cardiovasc Qual Outcomes, 2012, 5(3):251-259.DOI:10.1161/CIRCOUTCOMES.111.964791.
[29] Holbrook A, Labiris R, Goldsmith C H,et al.Influence of Decision Aids on Patient Preferences for Anticoagulant Therapy: A Randomized Trial[J]. CMAJ, 2007,176(11): 1583-1587. DOI:10.1503/cmaj.060837.
[30] Thomson R G, Eccles M P, Steen I N, et al.A Patient Decision Aid to Support Shared Decision-making on Anti-thrombotic Treatment of Patients with Atrial Fibrillation: Randomised Controlled Trial[J]. Qual Saf Health Care,2007,16(3):216-223. DOI:10.1136/qshc.2006.018481.
[31] Lalonde L, O'Connor A M, Duguay P, et al. Evaluation of a Decision Aid and a Personal Risk Profile in Community Pharmacy for Patients Considering Options to Improve Cardiovascular Health: The OPTIONS Pilot Study[J]. Int J Pharm Pract,2006,14(1):51-62.
[32] Morgan M W, Deber R B, Llewellyn-Thomas H A, et al. Randomized, Controlled Trial of an Interactive Videodisc Decision Aid for Patients with Ischemic Heart Disease[J]. J Gen Intern Med, 2000,15(10):685-693.
[33] Sheridan S L,Draeger L B,Pignone M P,et al.The Effect of a Decision Aid Intervention on Decision Making about Coronary Heart Disease Risk Reduction: Secondary Analyses of a Randomized Trial[J]. BMC Med Inform Decis Mak, 2014,14(1):14.DOI:10.1186/1472-6947-14-14.
[34] Lam W W, Kwok M, Liao Q, et al.Psychometric Assessment of the Chinese Version of the Decisional Conflict Scale in Chinese Women Making Decision for Breast Cancer Surgery[J]. Health Expectat,2015,18(2):210-220. DOI: 10.1111/hex.12021.
[35] 周晓楠,于丽根,李海燕,等. 中国文化背景下心力衰竭缓和医疗照护服务内容的构建[J].中国实用护理杂志,2018,34(11):801-808. DOI:10.3760/cma.j.issn.1672-7088.2018.11.001.
[36] Woodhouse K D,Tremont K,Vachani A,et al.A Review of Shared Decision-making and Patient Decision Aids in Radiation Oncology[J]. J Cancer Educ,2017,32(2):238-245. DOI:10.1007/s13187-017-1169-8.
[37] Carroll S L, Mcgillion M, Stacey D,et al.Development and Feasibility Testing of Decision Support for Patients Who are Candidates for a Prophylactic Implantable Defibrillator: A Study Protocol for a Pilot Randomized Controlled Trial[J].Trials,2013(14):346. DOI:10.1186/1745-6215-14-346.
[38] 袁一君,颜美琼. 患者参与医疗护理决策现状及影响因素研究进展[J]. 护理学杂志,2013,28(5):93-96.DOI:10.3870/hlxzz.2013.05.093.
[39] 张宏伟,侯晓婷,柏冬丽,等. 恶性肿瘤患者参与医疗及护理决策满意度现状的调查研究[J]. 中国实用护理杂志,2017,33(23):1805-1809.DOI:10.3760/cma.j.issn.1672-7088.2017.23.013.
[40] 肖静,黄伶智,李乐之. 冠心病患者心脏康复信息需求现状及影响因素[J]. 中南大学学报(医学版),2017,42(8): 973-978.DOI:10.11817/j.issn.1672-7347.2017.08.016.
[41] 周人. 认知闭合需要对患者求医决策的影响研究[D]. 南京:南京师范大学,2014.
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