月旦知識庫
  1. 熱門:
 
首頁 臺灣期刊   法律   公行政治   醫學   財經   社會學   教育   其他 大陸期刊   核心   非核心 DOI文章
本站僅提供期刊文獻檢索。【月旦知識庫】是否收錄該篇全文,敬請【登入】查詢為準。
最新【購點活動】
篇名
醫病共享決策應用於骨科微創手術
並列篇名
Shared Decision Making in Minimally Invasive Surgery in Orthopedics
作者 李天慶李忠佑林松彥傅尹志劉文智林高田黃炫迪 (Shang-Dyi Huang)陳崇桓
中文摘要
醫病共享決策(shared decision making, SDM),公認最早出現在1982年美國以病人為中心照護的共同福祉計畫中,為促進醫病相互尊重與溝通而提出。SDM的精神兼具溝通、知識與尊重。鼓勵病人勇敢表達對於疾病及治療的疑問和想法,讓醫療人員能夠了解病人的需求及想法(溝通),並在幫助病人充分了解各種醫療選項後(知識),保障病人有能力選出最適合自己治療方式的過程和權利(尊重)。相較於傳統開放手術,微創手術的優點是:(1)術中出血較少;(2)降低術後住院天數及疼痛,可以更早回到正常生活及工作;(3)恢復較快。因此選擇合適的病人進行微創手術,以醫病共享決策的方式進行,更能讓病人做一個合適的選擇。本文選擇骨科中,利用微創手術的三個情境,板機指、外傷骨盆骨折、老年骨鬆骨盆骨折為例,醫師選擇合適的病人,利用醫病共享決策的模式,幫助病人選擇合適的治療,以期待將來更多的骨科手術,可以以醫病共享決策的方式進行。
英文摘要
Shared decision making (SDM) was first conducted in the USA in 1982. Patient centered care is the main theme of health care. For improving the doctor-patient relationship with mutual respect and communication, SDM was proposed and conducted. SMD is based on choice, option and decision talk. In SDM, we encourage patients to expression their questions about the disease and treatment. It will let the health providers to know more about patients’ need and thought. It will also help patients to choose the most proper choice with all related medical knowledge acquired. Compared to the traditional open surgery, the benefits of minimally invasive surgery are (1) Less blood loss. (2) Less pain and hospitalization day so the patients can return to normal daily life and work earlier. (3) Faster recovery. Therefore, conducting SMD in suitable patients with minimally invasive surgery can help these patients choose a proper choice. In this article, we use three conditions which minimally invasive surgery are possible including trigger finger, traumatic pelvic fracture, osteoporotic pelvic fracture. With SDM, the patients can get a proper choice for them. We are looking forward to applying more SDM in Orthopedic surgery.
起訖頁 89-100
關鍵詞 醫病共享決策板機指外傷骨盆骨折老年骨鬆骨盆骨折Shared decision makingtrigger fingertraumatic pelvic fractureosteoporotic pelvic fracture
刊名 台灣醫學  
期數 202101 (25:1期)
出版單位 臺灣醫學會
該期刊-上一篇 醫病共享決策於物理治療的慢性疼痛介入
該期刊-下一篇 醫病共享輔助工具應用在人工關節置換
 

新書閱讀



最新講座


優惠活動




讀者服務專線:+886-2-23756688 傳真:+886-2-23318496
地址:臺北市館前路28 號 7 樓 客服信箱
Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄