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2
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引用本文的文献

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Educational intervention improves anticoagulation control in atrial fibrillation patients: the TREAT randomised trial.教育干预可改善心房颤动患者的抗凝控制：TREAT 随机试验。
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3
Comparison of two methods of presenting risk information to patients about the side effects of medicines.向患者介绍药物副作用风险信息的两种方法的比较。
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Understanding patients' preferences for treatment: the need for innovative methodologies.了解患者的治疗偏好：对创新方法的需求。
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本文引用的文献

1
The extent of patients' understanding of the risk of treatments.患者对治疗风险的理解程度。
Qual Health Care. 2001 Sep;10 Suppl 1(Suppl 1):i14-8. doi: 10.1136/qhc.0100014...
2
Understanding risk and lessons for clinical risk communication about treatment preferences.理解风险以及关于治疗偏好的临床风险沟通的经验教训。
Qual Health Care. 2001 Sep;10 Suppl 1(Suppl 1):i9-13. doi: 10.1136/qhc.0100009...
3
Coronary-artery bypass surgery and the brain.冠状动脉搭桥手术与大脑
N Engl J Med. 2001 Feb 8;344(6):451-2. doi: 10.1056/NEJM200102083440609.
4
Characteristics, outcome, and care of stroke associated with atrial fibrillation in Europe: data from a multicenter multinational hospital-based registry (The European Community Stroke Project).欧洲心房颤动相关性卒中的特征、转归及治疗：一项基于多中心跨国医院登记研究的数据（欧洲共同体卒中项目）
Stroke. 2001 Feb;32(2):392-8. doi: 10.1161/01.str.32.2.392.
5
Aortic stenosis--listen to the patient, look at the valve.主动脉瓣狭窄——倾听患者心声，观察瓣膜情况。
N Engl J Med. 2000 Aug 31;343(9):652-4. doi: 10.1056/NEJM200008313430910.
6
The impact of patients' preferences on the treatment of atrial fibrillation: observational study of patient based decision analysis.患者偏好对房颤治疗的影响：基于患者的决策分析观察性研究
BMJ. 2000 May 20;320(7246):1380-4. doi: 10.1136/bmj.320.7246.1380.
7
Prospective cohort study to determine if trial efficacy of anticoagulation for stroke prevention in atrial fibrillation translates into clinical effectiveness.一项前瞻性队列研究，以确定心房颤动中风预防的抗凝试验疗效是否能转化为临床有效性。
BMJ. 2000 May 6;320(7244):1236-9. doi: 10.1136/bmj.320.7244.1236.
8
Adverse outcomes and predictors of underuse of antithrombotic therapy in medicare beneficiaries with chronic atrial fibrillation.医疗保险受益的慢性心房颤动患者抗血栓治疗使用不足的不良后果及预测因素
Stroke. 2000 Apr;31(4):822-7. doi: 10.1161/01.str.31.4.822.
9
Secular trends in the management of hypertension and atrial fibrillation in patients presenting with stroke.中风患者高血压和心房颤动管理的长期趋势。
QJM. 2000 Jan;93(1):41-4. doi: 10.1093/qjmed/93.1.41.
10
Cardiac valve surgery in the octogenarian.八旬老人的心脏瓣膜手术
Heart. 2000 Jan;83(1):116-21. doi: 10.1136/heart.83.1.116.

老年患者心血管疾病中风险沟通与决策的重要性：一篇讨论文章。

Importance of risk communication and decision making in cardiovascular conditions in older patients: a discussion paper.

作者信息

Dudley N

机构信息

St James's University Hospital, Leeds LS9 7TF, UK.

出版信息

Qual Health Care. 2001 Sep;10 Suppl 1(Suppl 1):i19-22. doi: 10.1136/qhc.0100019...

DOI:10.1136/qhc.0100019..
PMID:11533433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1765741/
Abstract

Atrial fibrillation and aortic stenosis commonly present doctors and patients with difficult decisions about the risks and benefits of treatment options and are both often inappropriately undertreated. Patients may be confused by risk information and doctors may be aware of patients' limitations and use this to manipulate choices to the ones desired by the doctors. This paper examines the importance of risk communication and discusses difficulties that can arise in decision making in these two common cardiovascular conditions.

摘要

心房颤动和主动脉瓣狭窄常常使医生和患者在治疗方案的风险与益处方面面临艰难抉择，而且这两种病症往往都未得到恰当治疗。患者可能会被风险信息弄得晕头转向，而医生可能会意识到患者的局限性，并利用这一点将选择引导至他们期望的方向。本文探讨了风险沟通的重要性，并讨论了在这两种常见心血管疾病的决策过程中可能出现的困难。