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Perceptions and experiences of patients with stable coronary heart disease participating in shared decision-making: a
Xiangxu Meng1, Ping Yu2, Haizhen Wang1
1Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Objectives:
To explore, from the perspective of patients with stable coronary artery disease (SCAD), their perspectives and experiences of shared decision-making (SDM) participation.
Design:
A descriptive qualitative research design was adopted in this study. The reflexive thematic analysis method was used to generate themes.
Setting:
The study was conducted at a grade III level A hospital in Hangzhou, Zhejiang Province, China. The main interview locations for this study were quiet wards, meeting rooms and the respondents' residences.
Participants:
Between January and April 2025, 15 patients with SCAD who met the inclusion and exclusion criteria were recruited and underwent semistructured interviews.
Results:
This study developed three themes from the interviews: Theme 1: Specific content of participation in SDM, Theme 2: Family participation with Chinese characteristics, Theme 3: The complex game between ethics and efficiency.
Conclusions:
Healthcare providers can implement culturally sensitive, ethically informed sustainable development by guiding decision-making through gradual progression, valuing family hierarchy and advocating for better systemic support.
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