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https://ir.cnu.edu.tw/handle/310902800/34894
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| 標題: | Effect of patient decision aids on choice between sugammadex and neostigmine in surgeries under general anesthesia: a multicenter randomized controlled trial |
| 作者: | Wang, Li-Kai
Lin, Yao-Tsung
Chen, Jui-Tai
Lan, Winnie
Hung, Kuo-Chuan
Chen, Jen-Yin
Liu, Kuei-Jung
Yen, Yu-Chun
Chou, Yun-Yun
Cherng, Yih-Giun
Tam, Ka-Wai |
| 貢獻者: | Chi Mei Med Ctr, Dept Anesthesiol
Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm, Coll Recreat & Hlth Management
Taipei Med Univ, Shuang Ho Hosp, Dept Anesthesiol
Taipei Med Univ, Coll Med, Sch Med, Dept Anesthesiol
Taipei Med Univ, Shuang Ho Hosp, Dept Gen Med
Taipei Med Univ, Biostat Ctr, Off Data Sci
Shared Decis Making Resource Ctr
Taipei Med Univ, Shuang Ho Hosp, Dept Surg, Div Gen Surg
Cochrane Taiwan
Taipei Med Univ, Coll Med, Sch Med, Dept Surg,Div Gen Surg
Taipei Med Univ, Shuang Ho Hosp, Dept Anesthesiol
Taipei Med Univ, Shuang Ho Hosp, Shared Decis Making Resource Ctr |
| 關鍵字: | Anesthesia
Decision making
Decision support techniques
Neostigmine
Psy-chological conflict
Sugammadex |
| 日期: | 2023 |
| 上傳時間: | 2024-12-25 11:05:13 (UTC+8) |
| 出版者: | KOREAN SOC ANESTHESIOLOGISTS |
| 摘要: | Background: Shared decision making using patient decision aids (PtDAs) was established over a decade ago, but few studies have evaluated its efficacy in Asian countries. We there-fore evaluated the application of PtDAs in a decision conflict between two muscle relaxant reversal agents, neostigmine and sugammadex, and sequentially analyzed the regional dif-ferences and operating room turnover rates. Methods: This multicenter, outcome-assessor-blind, randomized controlled trial included 3,132 surgical patients from two medical centers admitted between March 2020 and Au-gust 2020. The patients were randomly divided into the classical and PtDA groups for pre-anesthesia consultations. Their clinicodemographic characteristics were analyzed to identify variables influencing the choice of reversal agent. On the day of the pre-anesthesia consultation, the patients completed the four SURE scale (sure of myself, understand in-formation, risk-benefit ratio, encouragement) screening items. The operating turnover rates were also evaluated using anesthesia records. Results: Compared with the classical group, the PtDA group felt more confident about re-ceiving sufficient medical information (P < 0.001), felt better informed about the advan-tages and disadvantages of the medications (P < 0.001), exhibited a superior understand-ing of the benefits and risks of their options (P < 0.001), and felt surer about their choice (P < 0.001). Moreover, the PtDA group had a significantly greater tendency to choose sugam-madex over neostigmine (P < 0.001). Conclusions: PtDA interventions in pre-anesthesia consultations provided surgical pa-tients with clear knowledge and better support. PtDAs should be made available in other medical fields to enhance shared clinical decision-making. |
| 關聯: | Korean Journal of Anesthesiology, v.76, n.4, pp.280-289 |
| 顯示於類別: | [行政單位] 456
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