Piloting the Use of Patient-Specific Cardiac Models as a Novel Tool to Facilitate Communication During Cinical Consultations.
Piloting the Use of Patient-Specific Cardiac Models as a Novel Tool to Facilitate Communication During Cinical Consultations.
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DOI：
10.1007/s00246-017-1586-9
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发表时间：
2017-04
影响因子：
1.6
通讯作者：
Wray J
中科院分区：
文献类型：
--
作者：
Biglino G;Koniordou D;Gasparini M;Capelli C;Leaver LK;Khambadkone S;Schievano S;Taylor AM;Wray J
这项初步研究旨在评估在青少年患者会诊期间使用针对患者的先天性心脏病(CHD)三维(3D)模型的影响。青少年冠心病患者(n = 20，年龄15-18岁，男性15例)在专家中心的心脏病学过渡诊所期间被要求完成两份问卷。第一份问卷是在常规咨询心脏病专家之前完成的，第二份问卷是在咨询之后完成的。在会诊期间，每个患者都得到了一个3D全心脏模型，该模型是根据他们的医学成像数据实现的。心脏病专家使用该模型来指出CHD的主要特征。结果测量包括对健康状况的评分、向他人解释自己的病情的信心、他们的冠心病名称和特征(作为冠心病知识的替代)、冠心病对他们生活方式的影响、对以前/当前就诊的满意度、3D模型的正面/负面特征以及开放式反馈。在向他人解释病情的信心(p = 0.008)、对冠心病的了解(p <； 0.001)和患者满意度(p = 0.005)方面均有显著改善。在看到3D模型后，对冠心病及其对生活方式的影响的描述更有说服力。大多数参与者报告说，模特帮助他们了解并改善了他们的访问，不可忽视的30%的参与者表示，模特让他们对自己的病情感到更焦虑。开放式反馈的内容分析显示，参与者对3D模型的总体态度是积极的。冠心病3D模型的临床翻译用于交流，值得在更大规模的研究中进一步探索。
This pilot study aimed to assess the impact of using patient-specific three-dimensional (3D) models of congenital heart disease (CHD) during consultations with adolescent patients. Adolescent CHD patients (n = 20, age 15–18 years, 15 male) were asked to complete two questionnaires during a cardiology transition clinic at a specialist centre. The first questionnaire was completed just before routine consultation with the cardiologist, the second just after the consultation. During the consultation, each patient was presented with a 3D full heart model realised from their medical imaging data. The model was used by the cardiologist to point to main features of the CHD. Outcome measures included rating of health status, confidence in explaining their condition to others, name and features of their CHD (as a surrogate for CHD knowledge), impact of CHD on their lifestyle, satisfaction with previous/current visits, positive/negative features of the 3D model, and open-ended feedback. Significant improvements were registered in confidence in explaining their condition to others (p = 0.008), knowledge of CHD (p < 0.001) and patients’ satisfaction (p = 0.005). Descriptions of CHD and impact on lifestyle were more eloquent after seeing a 3D model. The majority of participants reported that models helped their understanding and improved their visit, with a non-negligible 30% of participants indicating that the model made them feel more anxious about their condition. Content analysis of open-ended feedback revealed an overall positive attitude of the participants toward 3D models. Clinical translation of 3D models of CHD for communication purposes warrants further exploration in larger studies.