影响医疗决策中关系自主性的表现的因素:一个元综合
Thi Dung Le1, Shih-Chun Lin2, Mei-Chih Huang1,3
1National Cheng Kung University, Taiwan.
Nursing ethics
|October 11, 2023
概括
支持性关系和全面的信息增强了患者在医疗决策中的自主权. 家庭压力和占主导地位的医疗保健提供者的声音可能会阻碍这一点,强调需要合作决策.
科学领域:
- 医学伦理 医学伦理
- 健康心理学 心理健康心理学
- 卫生社会学 卫生社会学
背景情况:
- 关系自主性承认个人受到社会和关系因素的影响.
- 现有的临床应用确定了患者决策中的关系因素.
- 关于这些因素如何影响成人医疗决策中的关系自主性,存在一个知识差距.
研究的目的:
- 综合现有关于关系因素如何影响医疗决策的知识.
- 利用关系自主性的理论框架来理解这些影响.
主要方法:
- 采用了一种元合成方法.
- 在四个电子数据库 (Embase,OVID Medline,CINAHL,PubMed) 进行了搜索.
- 还审查了灰色文献和参考清单,以确定相关研究.
主要成果:
- 审查了23项研究 (21项定性研究,2项混合研究).
- 支持性关系和全面的信息促进了关系自主.
- 家庭压力和占主导地位的医疗保健提供者沟通阻碍了患者的关系自主权.
结论:
- 在成人医疗决策中促进关系自主性需要患者,提供者和家庭之间的支持关系.
- 提前护理规划可以促进共识,同时尊重个人价值观.
- 医疗保健提供者必须重视并将患者的价值观和偏好纳入建议.
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