新生儿疾病的共同决策框架和工具应用进展

Application Progress of Neonatal Disease Shared Decision-making Frameworks and Aids

以新生儿疾病为重点,介绍了医患共同决策的定义和发展历史,以及在新生儿疾病治疗中实现共同决策的一些工具,其中包括共同决策框架与模型以及决策辅助工具,共同决策框架以临床咨询、决策辅助和指导等形式为新生儿家属提供决策支持,决策辅助工具则借助宣传册、视频和交互式网站等形式,帮助医患共同决策,减少其决策冲突,提高决策质量和满意度。最后探讨了新生儿疾病治疗中实施共同决策的挑战,以及未来研究将要前进的方向,为促进医患共同决策在新生儿学科的发展提供新的思路。

Focusing on neonatal disease,this paper introduces the definition and development history of shared decision-making(SDM),as well as tools to enable SDM in neonatal care,including SDM frameworks and models and decision aids.SDM frameworks provide decision support for families of newborns in the form of clinical consultation,decision aid and guidance.Decision aids help doctors and patients make decisions together,reduce their decision-making conflicts,and improve decision-making quality and satisfaction by means of brochures,videos and interactive websites.Last but not least,it discusses the challenges of implementing SDM in the treatment of neonatal diseases and the direction of future research,and provides new ideas for promoting the development of SDM in neonatology.