Background:
Complex surgical plans and consideration of risks and benefits often cause
decisional conflicts for decision-makers in aortic dissection (AD) surgery,
resulting in decision delay. Shared decision-making (SDM) improves decision
readiness and reduces decisional conflicts. The purpose of this study was to
investigate the impact of SDM on decision quality in AD. Methods:
One hundred and sixty AD decision-makers were divided into
two groups: control (n = 80) and intervention (n = 80). The surgical plan for the
intervention group was determined using patient decision aids. The primary
outcome was decisional conflict. Secondary outcomes included decision
preparation, decision satisfaction, surgical method, postoperative complications,
actual participation role, and duration of consultation. The data were analyzed
with SPSS 26.0 (IBM Corp., Chicago, IL, USA). p
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Open Access
Original Research
The Impact of Shared Decision-Making on the Quality of Decision Making in Aortic Dissection: A before-and-after Comparison Study
Duo Zhang1,2, Haoyang Zheng3, Zhi Zheng4, Youmin Pan4, Zhengbiao Zha4, Juan Liu1, Lisi Zhu1, Qiansheng Wu1, Kaili Hu1, Zelin Chen5, Xiaoxiao Wang1, Kan-Paatib Barnabo Nampoukime4, Yanrong Zhou1,*
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1
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China
2
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China
3
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, China
4
Division of Cardiothoracic and Vascular Surgery, Sino-Swiss Heart-Lung Transplantation Institute, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China
5
Department of Virology, Research Institute for Microbial Diseases, Osaka University, 565-0871 Suita, Osaka, Japan
*Correspondence: z01232021@163.com (Yanrong Zhou)
Rev. Cardiovasc. Med. 2023, 24(8), 244;
https://doi.org/10.31083/j.rcm2408244
Submitted: 3 January 2023 | Revised: 24 February 2023 | Accepted: 9 March 2023 | Published: 24 August 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract
Keywords
shared decision-making
patient decision aids
aortic dissection
surgery
before-and-after comparison study
Funding
2021-3-10/Huazhong University of science and technology
202008/Huazhong University of science and technology
Figures
Fig. 1.