• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

用于选择减肥手术类型的共享决策系统的开发与评估

Development and evaluation of a shared decision-making system for choosing the type of bariatric surgery.

作者信息

Darnahal Sahar, Rezaee Rita, Zakerabasali Somayyeh

机构信息

Student Research Committee, Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Health Information Management, Clinical Education Research Center, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, 14336-71348, Iran.

出版信息

BMC Med Inform Decis Mak. 2024 Dec 18;24(1):385. doi: 10.1186/s12911-024-02796-6.

DOI:10.1186/s12911-024-02796-6
PMID:39695647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11657857/
Abstract

INTRODUCTION

Obesity is a multifactorial disease resulting from various environmental, genetic, and metabolic factors, affecting a large portion of the population. One of the most effective treatments for severe obesity is bariatric surgery. This research aims to develop a shared decision-making system that facilitates the selection of the appropriate type of bariatric surgery.

METHOD

In this research, we designed and developed a prototype of a shared decision-making system to aid in choosing the type of bariatric surgery through three steps: a) identifying data requirements from a literature review, b) designing interfaces and prototyping, and c) conducting a usability evaluation.

RESULTS

Through a literature review of articles, books, and interviews with ten selected patients, the necessary clinical data and educational topics were identified and confirmed by nine surgeons. A prototype was developed using the web application "Figma." We also analyzed the prototype using heuristic evaluation; "helping users understand and recover from errors" and "confidentiality" had the highest degrees of problem severity, with scores of 3.3 and 3.5, respectively.

CONCLUSION

The developed prototype demonstrated an acceptable level of usability. This system can facilitate shared decision-making and help structure education for patients seeking bariatric surgery.

摘要

引言

肥胖是一种由多种环境、遗传和代谢因素导致的多因素疾病,影响着很大一部分人群。治疗重度肥胖最有效的方法之一是减肥手术。本研究旨在开发一个共享决策系统,以促进选择合适的减肥手术类型。

方法

在本研究中,我们设计并开发了一个共享决策系统的原型,通过三个步骤来辅助选择减肥手术类型:a)通过文献综述确定数据需求,b)设计界面并制作原型,c)进行可用性评估。

结果

通过对文章、书籍的文献综述以及对十名选定患者的访谈,确定了必要的临床数据和教育主题,并得到了九位外科医生的确认。使用网络应用程序“Figma”开发了一个原型。我们还使用启发式评估对该原型进行了分析;“帮助用户理解错误并从中恢复”和“保密性”的问题严重程度最高,得分分别为3.3和3.5。

结论

所开发的原型展示了可接受的可用性水平。该系统可以促进共享决策,并有助于为寻求减肥手术的患者构建教育体系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/94b4fb4cefcc/12911_2024_2796_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/3c91ab6717f3/12911_2024_2796_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/d371fb71e925/12911_2024_2796_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/519e67859d68/12911_2024_2796_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/de124f3bf442/12911_2024_2796_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/94b4fb4cefcc/12911_2024_2796_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/3c91ab6717f3/12911_2024_2796_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/d371fb71e925/12911_2024_2796_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/519e67859d68/12911_2024_2796_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/de124f3bf442/12911_2024_2796_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9efc/11657857/94b4fb4cefcc/12911_2024_2796_Fig5_HTML.jpg

相似文献

1
Development and evaluation of a shared decision-making system for choosing the type of bariatric surgery.用于选择减肥手术类型的共享决策系统的开发与评估
BMC Med Inform Decis Mak. 2024 Dec 18;24(1):385. doi: 10.1186/s12911-024-02796-6.
2
Shared decision making when patients consider surgery for lumbar herniated disc: development and test of a patient decision aid.当患者考虑接受腰椎间盘突出症手术时的共同决策:患者决策辅助工具的制定和测试。
BMC Med Inform Decis Mak. 2019 Oct 4;19(1):190. doi: 10.1186/s12911-019-0906-9.
3
Pilot Testing of a Patient Decision Aid for Adolescents with Severe Obesity in US Pediatric Weight Management Programs within the COMPASS Network.美国 COMPASS 网络中儿科体重管理项目中用于重度肥胖青少年的患者决策辅助工具的初步测试
Int J Environ Res Public Health. 2019 May 20;16(10):1776. doi: 10.3390/ijerph16101776.
4
User-centered development of a hypospadias decision aid prototype.以患者为中心的尿道下裂决策辅助原型开发。
J Pediatr Urol. 2020 Oct;16(5):684.e1-684.e9. doi: 10.1016/j.jpurol.2020.07.047. Epub 2020 Aug 11.
5
Systematic review of online patient resources to support shared decision making for bariatric surgery.系统评价在线患者资源以支持肥胖症手术的共同决策。
Int J Surg. 2020 Feb;74:34-38. doi: 10.1016/j.ijsu.2019.12.021. Epub 2019 Dec 26.
6
Shared Decision Making and Choice for Bariatric Surgery.减重手术的共同决策和选择。
Int J Environ Res Public Health. 2019 Dec 6;16(24):4966. doi: 10.3390/ijerph16244966.
7
Shared decision making in surgery: a scoping review of patient and surgeon preferences.手术中的共同决策:患者和外科医生偏好的范围综述。
BMC Med Inform Decis Mak. 2020 Aug 12;20(1):190. doi: 10.1186/s12911-020-01211-0.
8
Associations between Lifetime Adversity and Obesity Treatment in Patients with Morbid Obesity.终生逆境与病态肥胖患者肥胖治疗的关联。
Obes Facts. 2019;12(1):1-13. doi: 10.1159/000494333. Epub 2019 Jan 17.
9
Role of weight bias and patient-physician communication in the underutilization of bariatric surgery.体重偏见和医患沟通在肥胖症手术利用不足中的作用。
Surg Obes Relat Dis. 2021 Nov;17(11):1926-1932. doi: 10.1016/j.soard.2021.07.013. Epub 2021 Jul 26.
10
Primary care physician decision making regarding severe obesity treatment and bariatric surgery: a qualitative study.初级保健医生关于重度肥胖治疗和减肥手术的决策:一项定性研究。
Surg Obes Relat Dis. 2016 May;12(4):893-901. doi: 10.1016/j.soard.2015.11.028. Epub 2015 Dec 2.

本文引用的文献

1
Current recommendations for procedure selection in class I and II obesity developed by an expert modified Delphi consensus.专家改良 Delphi 共识制定的 I 类和 II 类肥胖症手术选择的现行建议。
Sci Rep. 2024 Feb 11;14(1):3445. doi: 10.1038/s41598-024-54141-6.
2
Bariatric-metabolic surgery versus lifestyle intervention plus best medical care in non-alcoholic steatohepatitis (BRAVES): a multicentre, open-label, randomised trial.减重代谢手术与生活方式干预联合最佳药物治疗非酒精性脂肪性肝炎(BRAVES):一项多中心、开放标签、随机试验。
Lancet. 2023 May 27;401(10390):1786-1797. doi: 10.1016/S0140-6736(23)00634-7. Epub 2023 Apr 21.
3
2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery.
2022 年美国代谢与减重外科学会(ASMBS)和国际肥胖与代谢外科联合会(IFSO)代谢与减重手术适应证。
Obes Surg. 2023 Jan;33(1):3-14. doi: 10.1007/s11695-022-06332-1.
4
Comparison of Sleeve Gastrectomy vs Intensive Lifestyle Modification in Patients With a BMI of 30 to Less Than 35.胃袖状切除术与强化生活方式改变治疗 BMI 为 30 至 35 之间患者的效果比较。
JAMA Netw Open. 2022 Jul 1;5(7):e2223927. doi: 10.1001/jamanetworkopen.2022.23927.
5
Bariatric Tele-screening During the COVID-19 Pandemic: Holding Back for Direct Approval?新冠肺炎疫情期间的肥胖远程筛查:直接批准还是暂缓?
Obes Surg. 2022 Apr;32(4):1072-1076. doi: 10.1007/s11695-021-05845-5. Epub 2022 Jan 21.
6
Telematics pre-operative psychological and nutritional assessment in candidates for bariatric surgery during COVID-19 phase 2: a pilot prospective observational study.远程医疗术前心理和营养评估在 COVID-19 阶段 2 期间接受减重手术的候选人中:一项前瞻性观察性研究。
Minerva Surg. 2021 Feb;76(1):57-61. doi: 10.23736/S2724-5691.20.08706-4.
7
The first modified Delphi consensus statement on sleeve gastrectomy.第一版改良 Delphi 共识声明:袖状胃切除术。
Surg Endosc. 2021 Dec;35(12):7027-7033. doi: 10.1007/s00464-020-08216-w. Epub 2021 Jan 12.
8
Impact of obesity on COVID-19 patients.肥胖对 COVID-19 患者的影响。
J Diabetes Complications. 2021 Mar;35(3):107817. doi: 10.1016/j.jdiacomp.2020.107817. Epub 2020 Nov 26.
9
What Works in Implementing Patient Decision Aids in Routine Clinical Settings? A Rapid Realist Review and Update from the International Patient Decision Aid Standards Collaboration.在常规临床环境中实施患者决策辅助工具的有效方法有哪些?国际患者决策辅助标准协作的快速务实综述和更新。
Med Decis Making. 2021 Oct;41(7):907-937. doi: 10.1177/0272989X20978208. Epub 2020 Dec 15.
10
Regulation of Obesity by Antiangiogenic Herbal Medicines.抗血管生成草药对肥胖的调节作用。
Molecules. 2020 Oct 4;25(19):4549. doi: 10.3390/molecules25194549.