醫病共享決策應用於骨科微創手術

李天慶; 李忠佑; 林松彥; 傅尹志; 劉文智; 林高田; 黃炫迪; 陳崇桓

doi:10.6320/FJM.202101_25(1).0008

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P89 - 100

Health & Medical Care > General

DOI： 10.6320/FJM

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醫病共享決策應用於骨科微創手術

Shared Decision Making in Minimally Invasive Surgery in Orthopedics

李天慶(Tien-Ching Lee) ；李忠佑(Jhong-You Li) ；林松彥(Sung-Yen Lin) ；傅尹志(Yin-Chih Fu) ；劉文智(Wen-Chih Liu) ；林高田(Gau-Tyan Lin) ；黃炫迪(Hsuan-Ti Huang) ；陳崇桓(Chung-Hwan Chen)

台灣醫學； 25卷1期 (2021 / 01 / 25) ， P89 - 100

繁體中文 DOI： 10.6320/FJM.202101_25(1).0008

醫病共享決策；板機指；外傷骨盆骨折；老年骨鬆骨盆骨折； Shared decision making (SDM) ； trigger finger ； traumatic pelvic fracture ； osteoporotic pelvic fracture

Abstract │ Reference (19)

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Shared decision making (SDM) was first conducted in the USA in 1982. Patient centered care is the main theme of health care. For improving the doctor-patient relationship with mutual respect and communication, SDM was proposed and conducted. SMD is based on choice, option and decision talk. In SDM, we encourage patients to expression their questions about the disease and treatment. It will let the health providers to know more about patients' need and thought. It will also help patients to choose the most proper choice with all related medical knowledge acquired. Compared to the traditional open surgery, the benefits of minimally invasive surgery are (1) Less blood loss. (2) Less pain and hospitalization day so the patients can return to normal daily life and work earlier. (3) Faster recovery. Therefore, conducting SMD in suitable patients with minimally invasive surgery can help these patients choose a proper choice. In this article, we use three conditions which minimally invasive surgery are possible including trigger finger, traumatic pelvic fracture, osteoporotic pelvic fracture. With SDM, the patients can get a proper choice for them. We are looking forward to applying more SDM in Orthopedic surgery.

Reference ( 19 ) 〈TOP〉

Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med 1997;44:681-92.
連結：
Sheridan SL, Harris RP, Woolf SH, et al. Shared decision making about screening and chemoprevention. a suggested approach from the U.S. Preventive Services Task Force. Am J Prev Med 2004;26:56-66.
連結：
Kaplan RM. Shared medical decision making. A new tool for preventive medicine. Am J Prev Med 2004;26:81-3.
連結：
Bonnici AV, Spencer JD. A survey of 'trigger finger' in adults. J Hand Surg Br 1988;13:202-3.
連結：
Stahl S, Kanter Y, Karnielli E. Outcome of trigger finger treatment in diabetes. J Diabetes Complications 1997;11:287-90.
連結：

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