在高血压中共享决策的多民族观点:混合方法研究
Sabrina Elias1, Jennifer Wenzel1,2, Lisa A Cooper2,3
1Johns Hopkins School of Nursing Baltimore MD USA.
Journal of the American Heart Association
|July 11, 2024
概括
种族,种族,年龄,教育和患者激活在高血压管理中显著影响共享决策 (SDM). 有效的沟通和患者的理解是改善SDM结果的关键.
科学领域:
- 心血管健康 心血管健康
- 健康 公平 卫生 公平
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 可以提高高血压护理的质量和公平性.
- 关于种族和种族如何影响高血压管理中的SDM的研究有限.
研究的目的:
- 探索种族和种族对高血压管理中的SDM的影响.
- 确定影响SDM和高血压患者血压结果的因素.
主要方法:
- 使用定量 (n=1212) 和定性 (n=36) 数据进行解释性的顺序混合方法设计.
- 来自RICH LIFE研究的基线和12个月后续数据的分析.
- 多项逻辑回归用于识别SDM得分和血压降低的预测因素.
主要成果:
- 种族和种族是SDM得分和血压结果的重要预测因素 (RRR,1.64;P=0.029).
- 其他预测因素包括年龄,教育,患者激活和高血压知识.
- 医疗服务提供者与患者之间的沟通和关系动态被确定为SDM的关键促进者和障碍.
结论:
- 影响SDM的决策和情境因素的决定因素在SDM分数和血压结果不同的患者之间有所不同.
- 这些发现为高血压护理中的SDM提供了新的,可操作的见解.
- 了解这些因素可以帮助改善高血压管理策略.
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