使用决策支持工具治疗治疗决策关于抗抑郁药在门诊精神病咨询的决策
Nor Hazila Mat Lazim1, Ayeshah Syed1, Charity Lee2
1Department of English Language, Faculty of Languages and Linguistics, Universiti Malaya, Kuala Lumpur, Malaysia.
Patient education and counseling
|April 2, 2024
概括
决策支持工具,包括患者决策辅助工具 (PDA),增强了重大抑郁障碍 (MDD) 抗抑郁药选择的共享决策 (SDM). 这些工具鼓励患者参与和协作治疗决策.
科学领域:
- 精神病学是一个精神病学.
- 卫生沟通健康沟通
- 决策科学 决策科学 决策科学
背景情况:
- 大型抑郁症 (MDD) 治疗决策涉及对抗抑郁药物的复杂选择.
- 有效的沟通和共享决策 (SDM) 对于最佳的患者结果至关重要.
- 决策支持工具在心理咨询中促进SDM的作用需要进一步研究.
研究的目的:
- 检查决策支持工具对患者和精神科医生的决策对话对MDD患者抗抑郁药选择的影响.
- 为了比较医生的对话指南单独与与患者决策辅助器 (PDA) 结合的指南的有效性.
主要方法:
- 用以主题为导向的话语分析来分析两个组的咨询:控制 (医生的指南,n=17) 和干预 (指南 + PDA,n=16).
- 分析了对话,以评估精神科医生与患者的互动,引起患者的观点,并参与决策谈话.
主要成果:
- 精神病医生在两组中都主导了对话.
- 在干预组中,精神病医生更多地关注信息传递,稍微减少了患者观点的提取.
- 然而,干预组中的患者决策辅助 (PDA) 适度地增加了患者参与共享决策讨论.
结论:
- 决策支持工具,特别是PDA,对共享决策 (SDM) 的表现产生了积极的影响.
- 对话指南促进了患者观点的提取,使精神病医生能够量身定制建议.
- 该PDA培养了一个协作环境,用于治疗讨论和决策在重大抑郁症 (MDD) 管理.
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