对药物使用障碍患者的控制偏好,参与决策和激活的相关性
Pedro Serrano-Pérez1, Amado Rivero-Santana2, Constanza Daigre-Blanco3
1Department of Psychiatry, Hospital Álvaro Cunqueiro, SERGAS, 36312 Vigo, Spain; Department of Psychiatry and Forensic Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain; Translational Neuroscience Research Group, Galicia Sur Health Research Institute (IIS-Galicia Sur), SERGAS-UVIGO, CIBERSAM, 36312 Vigo, Spain.
Actas espanolas de psiquiatria
|June 11, 2024
概括
患有较轻度物质使用障碍的患者更喜欢在治疗决策中发挥积极作用. 较大的患者激活与偏好和感知参与决策相关.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 治疗需要患者参与,以获得更好的结果.
- 以患者为中心的护理 (PCC) 和共享决策 (SDM) 提高了满意度并减少了物质使用.
- 在SUD患者中SDM的相关性仍未得到充分研究.
研究的目的:
- 确定与患者偏好和对SUD治疗中SDM的看法相关的因素.
- 探索患者特征与他们参与治疗决策之间的关系.
- 在SUD护理的背景下,检查患者激活的相关性.
主要方法:
- 对214名SUD患者的横截面分析.
- 使用了控制偏好量 (CPS),SDM-9-Q和患者激活量 (PAM).
- 采用多项逻辑和多层线性回归分析.
主要成果:
- 积极的角色偏好与高等教育,较低的神经病症,较少的并发性疾病和更好的生活质量有关.
- 感知参与与非新患者身份,更少的法律问题,更高的酒精消费严重程度和特定物质使用模式有关.
- 患者激活与活动特征相关,对积极角色的偏好和感知参与.
结论:
- 较温和的SUD临床特征与优先选择主动角色而不是共享角色相关.
- 在共享或被动角色偏好/感知之间没有发现显著差异.
- 较高的患者激活与积极角色偏好和感知到的决策参与有关.
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