Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34894
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    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://ir.cnu.edu.tw/handle/310902800/34894


    题名: 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
    贡献者: 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
    关键词: Anesthesia
    Decision making
    Decision support techniques
    Neostigmine
    Psy-chological conflict
    Sugammadex
    日期: 2023
    上传时间: 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
    显示于类别:[Dept. of Hospital and Health (including master's program)] Periodical Articles

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