在患有晚期慢性病的患者中,共享置换治疗和疾病感知决策
Shih-Ming Hsiao1, Mei-Chuan Kuo2,3, Pei-Ni Hsiao1
1Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 807, Taiwan.
BMC medical informatics and decision making
|August 14, 2023
概括
慢性病 (CKD) 患者的置换治疗 (RRT) 的共享决策 (SDM) 平均为五个月. 较强的疾病感知与较长的RRT决策时间相关,这表明患者理解和治疗选择之间存在联系.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗决策的制定 医疗决策的制定
- 健康心理学 心理健康心理学
背景情况:
- 目前的医疗保健强调共享决策 (SDM) 在慢性病 (CKD) 患者的置换治疗 (RRT).
- 了解SDM和CKD患者的疾病感知之间的关系至关重要.
- 很少有研究探讨了SDM,疾病感知,以及它们对RRT决策的影响.
研究的目的:
- 为了研究疾病感知和RRT的SDM决策时间之间的关系,在CKD患者中.
- 分析影响RRT决策时间表的因素,在接受SDM的CKD患者中.
主要方法:
- 一项涉及75名台湾CKD患者的横截面研究.
- 使用了SDM的SHARE模型和简短的疾病感知问卷 (BIPQ).
- 将患者分为一般和延迟SDM组;使用t测试,奇平方,费舍尔精确和斯皮尔曼测试分析相关性.
主要成果:
- 在SDM启动后,RRT决策的平均时间为166.2天.
- 延迟SDM组 (24名患者) 的决策时间 (361天) 比一般组 (56天) 长得多.
- 延迟决策与未建立早期手术接入 (66.7%对27.5%) 有关.
结论:
- 慢性病患者平均需要5.5个月的时间来决定SDM后的RRT.
- 一个趋势表明,更强的疾病感知与更长的决策时间相关,尽管在统计学上并不显著.
- 较短的RRT决策时间可能与早期的手术接入有关,这需要进一步研究.
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