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翻译丢失:帮助患者了解炎症性肠病治疗的风险。

Lost in translation: helping patients understand the risks of inflammatory bowel disease therapy.

机构信息

Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.

出版信息

Inflamm Bowel Dis. 2010 Dec;16(12):2168-72. doi: 10.1002/ibd.21305.

DOI:10.1002/ibd.21305
PMID:20848508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3037287/
Abstract

Patients with inflammatory bowel disease are commonly treated with immunomodulators and biologic therapy. These treatments can be very effective, but are associated with risks of adverse events that need to be discussed with patients. Effectively communicating risks of therapy can be challenging based on time constraints, misinformation available on the Internet and from others, and the lack of tools to efficiently share accurate data with patients and their families. Providers need to acknowledge the emotional aspect involved in the perception of risk, and be aware of mistakes that can easily be made in communicating with patients. Tools are available to make medical data easier to understand, and these techniques have been adapted for patients with inflammatory bowel disease. By more clearly communicating with patients, we can ensure that they are making informed medical decisions that fit with their personal preferences for treatment.

摘要

患有炎症性肠病的患者通常会接受免疫调节剂和生物疗法的治疗。这些治疗方法可能非常有效,但也存在不良事件的风险,需要与患者讨论。由于时间限制、互联网和他人提供的错误信息以及缺乏有效工具与患者及其家属共享准确数据,因此有效地沟通治疗风险具有挑战性。提供者需要承认在感知风险中涉及的情感方面,并意识到在与患者沟通时容易犯的错误。有一些工具可以使医疗数据更容易理解,并且这些技术已经适用于炎症性肠病患者。通过更清楚地与患者沟通,我们可以确保他们做出符合个人治疗偏好的明智医疗决策。

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本文引用的文献

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2
Using a drug facts box to communicate drug benefits and harms: two randomized trials.使用药品说明书传达药物的益处和危害:两项随机试验
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3
Are adult patients more tolerant of treatment risks than parents of juvenile patients?成年患者比青少年患者的父母对治疗风险更耐受吗?
Risk Anal. 2009 Jan;29(1):121-36. doi: 10.1111/j.1539-6924.2008.01135.x. Epub 2008 Sep 26.
4
Immunosuppressant medications and mortality in inflammatory bowel disease.炎症性肠病中的免疫抑制药物与死亡率
Am J Gastroenterol. 2008 Jun;103(6):1428-35; quiz 1436. doi: 10.1111/j.1572-0241.2008.01836.x. Epub 2008 May 20.
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Making numbers matter: present and future research in risk communication.让数字发挥作用:风险沟通领域的当前与未来研究
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