在评估左心室辅助器件之前和之后,患者对医疗决策的控制偏好
Vishal Krishnan1, Kaitlyn B Bertin1, Colleen K McIlvennan1
1University of Colorado School of Medicine, Aurora, CO, United States of America.
概括
患者对医疗决策角色的偏好随着时间的推移而演变,许多人希望积极或协作参与. 收入和教育等社会决定因素影响了这些不断变化的偏好,突出了对个性化护理策略的需求.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 医学社会学 医学社会学
背景情况:
- 以患者为中心的护理强调了解个人在医疗决策中的角色.
- 关于患者控制偏好的时间稳定性的数据有限,特别是在重大健康事件期间.
研究的目的:
- 研究患者对决策角色的偏好随着时间的推移而变化的稳定性和演变.
- 为了确定影响这些偏好的因素,在接受左心室辅助器件评估的患者.
主要方法:
- 对233名被评估为左心室辅助装置植入的患者进行前性调查.
- 在基线,1个月和6个月后使用控制偏好尺度进行评估.
- 分析了患者偏好的变化以及与人口和社会因素的相关性.
主要成果:
- 最初,合作和积极的决策角色是最喜欢的.
- 在6个月的随访期间,出现了更积极的偏好趋势.
- 大约50%的患者报告说,他们喜欢的角色发生了变化;更高的收入和教育与积极的偏好相关.
结论:
- 大多数患者希望共享决策,但希望参与的程度是动态的.
- 随着时间的推移,患者控制偏好可能会发生显著变化,特别是在重大医疗事件后.
- 健康的社会决定因素,如社会经济地位,在塑造这些偏好方面发挥着作用.
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