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3D打印解剖模型对骨科会诊中医患沟通的影响:一项随机临床试验

Impact of 3D-Printed Anatomical Models on Doctor-Patient Communication in Orthopedic Consultations: A Randomized Clinical Trial.

作者信息

Sanchez Alessandro U, Dos Anjos Guilherme Q, de Oliveira Diego Gabriel C, Lima Jairo de Andrade, de Lira Marina S, Costa Júnior Mário A, de Almeida Mucio Brandão V, Heilmann Rodrigo M, Rolim Filho Epitácio L

机构信息

Medical Science Center, Federal University of Pernambuco, Recife, BRA.

Department of Orthopedics and Traumatology, Clinics Hospital of Federal University of Pernambuco, Recife, BRA.

出版信息

Cureus. 2024 Oct 4;16(10):e70822. doi: 10.7759/cureus.70822. eCollection 2024 Oct.

DOI:10.7759/cureus.70822
PMID:39493008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11531919/
Abstract

Effective communication between doctors and patients is essential for treatment adherence and better clinical outcomes. Although 3D printing has advanced in medicine, its impact on doctor-patient communication still requires further investigation. This randomized clinical trial evaluated the effectiveness of 3D anatomical models as a tool to facilitate communication in orthopedic consultations. This randomized clinical trial was conducted between May 2024 and September 2024, with 46 patients randomized into two groups: 21 patients received medical explanations with the aid of 3D models, and 25 without. Patients' knowledge was assessed before and after the consultation, and the quality of communication was measured using the Communication Assessment Tool (CAT). In the group using 3D models, 76.19% of patients reported improved knowledge of their conditions, while in the group without models, the increase was 52.00%. Additionally, 14 out of 15 CAT parameters showed statistically significant differences between the groups, with p-values ranging from 0.001 to 0.021. The use of 3D models significantly improved patients' understanding and facilitated communication with doctors, proving to be an effective tool for explaining complex medical conditions.

摘要

医生与患者之间的有效沟通对于治疗依从性和更好的临床结果至关重要。尽管3D打印在医学领域取得了进展,但其对医患沟通的影响仍需进一步研究。这项随机临床试验评估了3D解剖模型作为一种工具在骨科会诊中促进沟通的有效性。该随机临床试验于2024年5月至2024年9月进行,46名患者被随机分为两组:21名患者借助3D模型接受医学解释,25名患者未使用3D模型。在会诊前后评估患者的知识水平,并使用沟通评估工具(CAT)测量沟通质量。在使用3D模型的组中,76.19%的患者报告对自身病情的了解有所改善,而在未使用模型的组中,这一比例为52.00%。此外,15个CAT参数中有14个在两组之间显示出统计学上的显著差异,p值范围为0.001至0.021。3D模型的使用显著提高了患者的理解能力,并促进了与医生的沟通,证明是解释复杂医疗状况的有效工具。

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J Child Orthop. 2024 Jul 27;18(4):360-371. doi: 10.1177/18632521241264183. eCollection 2024 Aug.
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Do educational interventions reduce the gender gap in communication skills?- a systematic review.教育干预措施能否缩小沟通技能方面的性别差距?——一项系统综述
BMC Med Educ. 2024 Jul 31;24(1):827. doi: 10.1186/s12909-024-05773-9.
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3D printing as a pedagogical tool for teaching normal human anatomy: a systematic review.3D 打印作为教授正常人体解剖学的教学工具:系统评价。
BMC Med Educ. 2023 Oct 20;23(1):783. doi: 10.1186/s12909-023-04744-w.
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Persistent inequalities in health care services utilisation in Brazil (1998-2019).巴西医疗卫生服务利用方面持续存在的不平等(1998-2019 年)。
Int J Equity Health. 2023 Feb 2;22(1):25. doi: 10.1186/s12939-023-01828-3.
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The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals-Cross-Sectional Multispecialty Review.3D打印在复杂医疗程序规划及医学专业人员培训中的作用——横断面多专业综述
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