民眾使用退化性關節炎決策輔助工具進行醫療決策之效益探討

Perspectives of Patients with Osteoarthritis on Using an Aid for Shared Decision Making

目的：本研究旨在評估民眾使用退化性關節炎之決策輔助工具(PDA)進行醫病共享決策(SDM)對其準備做出 醫療決策的幫助及感受與看法。 方法：本研究為全國橫斷性調查，醫療人員透過PDA與患有退化性關節炎需進行醫療決策之民眾進行 SDM，於當次看診結束後調查民眾對看診過程之感受 (n=330)。 結果：80%以上民眾表示使用退化性關節炎PDA進行SDM對看診過程有幫助，其中以不接受手術者及不識 字之民眾之準備程度最低。 結論：民眾對於使用PDA進行SDM之整體感受呈正向。另外，SDM允許病人多次討論及深思熟慮後再做決 定。因此，雖有3成民眾無法於當次看診結束後做出決策，PDA仍對民眾有幫助，未來可依回饋意見發展符 合民眾需求之PDA及提升研發品質並探討不接受手術者之決策準備程度較低之因素。

 

Purpose: The aim of this study was to assess patients’ (and their families’) perceptions of the helpfulness of a decision making aid for osteoarthritis. Methods: This study was a national cross-sectional survey. Medical staff used an osteoarthritis patient decision aid (PDA) when conducting shared decisio making (SDM) with patients or their families who needed to make a decision. After the visit, we assessed the patient’s or their family’s perception of how useful the osteoarthritis PDA was (n = 330). Results: More than 80% of the respondents opined that the PDA was helpful in the consultation process. Among them, the patients who underwent no surgery were least prepared. Furthermore, those who were illiterate were significantly less prepared for decision making. Conclusions: Overall, using the PDA for SDM was positively perceived. In addition, SDM enables patients to discuss and reflect before making decisions. Approximately 30% of the population cannot make decisions immediately after the visit, but the PDA still helps them prepare for future decision making. In the future, we can develop the PDA to better meet the needs of users based on patient feedback. The reasons for why a patient does not undergo surgery can also be discussed.