通过自决理论和共同决策,将心脏心理学与心血管医学联系起来
Jonathan A Shaffer1, Daniel D Matlock2,3, Jennifer Morozink Boylan4
1Department of Psychology, University of Colorado Denver, Campus Box 173, PO Box 173364, Denver, CO, 80217, USA. jonathan.shaffer@ucdenver.edu.
将自决理论 (SDT) 与共享决策 (SDM) 整合起来,可以提高患者的动力和对心脏病的坚持. 这种方法解决了心理需求,以加强基于证据的实践的实施.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 心脏心理学研究在临床实践中未得到充分利用.
- 自决理论 (SDT) 通过心理需求 (自主,能力,相关性) 解释了动机.
- 共享决策 (SDM) 是一种患者和临床医生的协作过程.
研究的目的:
- 审查SDT应用于心脏病学中的健康行为改变的应用.
- 在传播和实施 (D&I) 框架内探索合并SDT和SDM.
- 确定在心脏病学中克服SDM实施障碍的策略.
主要方法:
- 这篇叙事综述综合了有关SDT,SDM和D&I在心脏病学中的现有文献.
- 它研究了SDT原则如何支持SDM及其实施.
- 讨论了SDM的障碍和潜在的解决方案.
主要成果:
- SDT的重点是自主,能力和相关性,可以增强患者对行为改变的动机.
- 将SDT与SDM合并为改善健康建议的内部化提供了一个框架.
- 解决患者自主权对于有效的SDM至关重要.
结论:
- SDT为增强心脏病学中的SDM提供了理论基础.
- 应用SDT原则可以改善SDM干预措施的传播和实施.
- 这种融合可以弥合心脏心理学的研究与实践差距.
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