用和没有共享决策工具进行的精神病学咨询中的对话话题:定性内容分析
Momoka Igarashi1, Takayuki Kawaguchi1, Takuma Shiozawa2
1Department of Community Mental Health & Law, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan.
Patient education and counseling
|November 5, 2023
概括
精神病学咨询主要讨论日常生活的问题. 一个共享决策 (SDM) 工具增加了对话时间,但没有改变患者和精神病医生之间的话题分配.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神病室门诊咨询涉及患者的各种关切.
- 了解对话动态对于有效治疗至关重要.
- 共享决策 (SDM) 工具可能会影响患者与医疗服务提供者之间的沟通.
研究的目的:
- 在精神病室门诊咨询中确定对话主题.
- 为了确定谁发起了这些话题.
- 为了比较主题分布与没有SDM工具.
主要方法:
- 104次录音精神病学咨询的定性内容分析.
- 参与者被分为SDM和通常治疗 (TAU) 组.
- 分析了主题词数,以量化讨论重点.
主要成果:
- 出现了五个主要主题类别:症状,生活,治疗/服务使用,全球状态/目标等.
- 日常生活问题是最大的讨论类别 (37.4%).
- SDM工具增加了咨询时间和字数,但没有显著改变话题分布.
结论:
- 日常生活问题,特别是与工作有关的问题,主导着精神病学咨询.
- 虽然SDM工具可以提高患者参与度,但它们并不能从根本上改变讨论主题的分布.
- 精神病医生应该擅长解决患者与生活相关的担忧.
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