物理治疗中的共享决策:对日本患者参与因素和问题的横截面研究
Tatsuya Ogawa1,2, Shuhei Fujimoto3,4, Kyohei Omon5,6
1Department of Neurorehabilitation, Graduate School of Health Sciences, Kio University, 4-2-2 Umaminaka, Koryo-Cho, Kitakatsuragi-Gun, Nara, 635-0832, Japan. t.ogawa.pt@gmail.com.
日本的患者希望更多地参与理疗决策. 物理治疗师的共享决策 (SDM) 与改善患者参与感知有关.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于证据的医学教育往往忽视了患者参与临床决策.
- 共享决策 (SDM) 是一个关键概念,但其在物理治疗中的应用需要进一步研究.
- 在日本背景下,关于患者参与物理治疗决策的数据有限.
研究的目的:
- 调查患者参与日本物理治疗决策的情况.
- 检查共享决策 (SDM) 和患者对参与的看法之间的关系.
- 确定影响患者参与物理治疗的因素.
主要方法:
- 招募急性/次急性住院患者和接受物理治疗的门诊患者.
- 使用控制偏好尺度 (CPS) 来衡量患者参与度.
- 使用共享决策问卷 (SDM-Q-9) 来评估SDM.
主要成果:
- 在患者在决策中的实际和首选角色之间发现了显著的差异 (kappa = 0.38).
- 患者通常希望比他们经历的更积极的参与.
- 物理治疗师的SDM实践,患者喜欢的角色和临床环境是患者参与的重要因素.
结论:
- 日本的理疗患者报告说,参与决策的程度很低.
- 患者表示希望在治疗决策中更多地参与.
- 在物理治疗中实施SDM对于提高患者参与度和满意度至关重要.
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