副作用信息对患者服用药物的意愿的影响:对知情同意和药物坚持的后果
Jessica M Barker1,2, Kate Faasse2
1School of Psychology, University of Sydney, Sydney, New South Wales, Australia.
Internal medicine journal
|September 24, 2023
概括
告知患者药物的副作用会影响他们服用药物的意愿. 呈现一个或四个副作用,而不是没有或很多,改善了坚持和准确的回忆.
科学领域:
- 健康心理学 心理健康心理学
- 临床药房 临床药房
- 患者沟通 患者沟通
背景情况:
- 知情同意要求披露药物副作用,但这些信息可能会对患者的期望产生负面影响.
- 在临床实践中,平衡全面披露与对患者遵守和同意准确性的潜在负面影响是临床实践中的一个重大挑战.
研究的目的:
- 调查披露的药物副作用数量如何影响患者服用药物的意愿以及他们对这些副作用的记忆.
- 确定最佳的副作用信息量,以提高药物坚持和知情同意.
主要方法:
- 参与者被告知药物副作用的数量不同 (没有,一个,四个或26个).
- 评估了服用药物的意愿和对披露的副作用的记忆准确性.
- 使用统计分析来比较不同信息条件的结果.
主要成果:
- 当参与者被告知一种或四种副作用时,服用药物的意愿是最高的,而没有任何副作用或26是最高.
- 对于药物副作用的记忆回忆在一个和四个副作用组中更准确.
- 在公布的副作用数量和患者结果之间观察到非线性关系.
结论:
- 披露适度数量的药物副作用 (一到四种) 似乎可以优化患者坚持治疗的意愿.
- 通知患者关于有限的一组副作用可以提高知情同意的准确性,而不会让患者感到压倒.
- 医疗保健提供者应考虑向患者提交的副作用信息的数量,以提高患者的坚持和知情同意.
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