- 期刊
多媒體電子書為醫病共享決策輔助工具之成效－以乳癌病患為例
The Effects of Multimedia E-book Intervention from the Shared Decision Making on Breast Cancer Patients
摘要
目的：評估電子書做為乳癌治療的決策輔助工具，進行醫病共享決策（SDM）的成效。方法：本研究採類實驗研究設計，收案期間自2018年7月01日至2019年6月30日，於北部某區域教學醫院乳房外科門診，初診斷乳癌為樣本，共39位乳癌病人透過手機下載此決策輔助工具APP在家觀看，以Google表單進行問卷調查。結果：76.9%的乳癌患者可以決定治療方法，對疾病及治療的認識程度前、後測有顯著差異，（p＜0.001），焦慮程度顯著降低（3.33±0.87 vs. 2.48 ± 0.68, p＜0.001），一半以上乳癌患者覺得能獲得重要醫療知識、更放心接受治療及受到尊重。結論：驗證電子書為優質醫病共享決策輔助工具，實踐以病人為中心之照護模式，提升病患健康識能，做出最佳的決策，並能有效降低焦慮感受。未來可以做為推廣模式，協助病患進行治療決策之參考，以促進醫療品質。
並列摘要
Objectives: The aim of this study was to evaluate the effectiveness of e-books as a decision-making aid for breast cancer treatment. Methods: This study adopted a quasi-experimental design. From July 01, 2018 to June 30, 2019, thirty-nine patients newly diagnosed as breast cancer were recruited from a surgical outpatient department of a regional hospital. The intervention was to download the decision aid APP and to use Google spreadsheet to conduct a questionnaire. Results: 76.9% of breast cancer patients made decisions and there were significant differences in disease and treatment knowledge after the intervention; the anxiety was significantly decreased (3.33 ± 0.87 vs. 2.48 ± 0.68, p ＜ 0.001). More than half of breast cancer patients felt that they could obtain important health information and were more assured of receiving treatment and more respected. Conclusions: Our study verifies that E-books are high grade decision-making aids. To practice as a patient-centered care, it can enhance health literacy to make the best decisions and also reduce anxiety. It can be used as a promotion model in future to promote medical quality.