赋权住院患者参与抗生素治疗的共同决策:定量分析
1Department of Preventive and Population Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge (OCEAN), Tan Tock Seng Hospital, Singapore, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
The Journal of hospital infection
|July 20, 2024
概括
通过参与决策,医疗保健专业人员的互动和对护理的控制来赋予患者权力,显著增加了住院患者在抗生素治疗中参与共享决策 (SDM).
科学领域:
- 医疗保健管理的管理
- 患者体验 患者体验
- 抗生素管理局 抗生素管理局
背景情况:
- 对一半住院的患者给予抗生素.
- 患者参与抗生素治疗的共享决策 (SDM) 特别低.
- 了解患者赋权与SDM之间的联系对于改善护理至关重要.
研究的目的:
- 调查患者赋权与参与关于抗生素治疗的SDM之间的联系.
- 确定影响SDM参与的患者赋权的具体方面.
主要方法:
- 在新加坡对接受抗生素治疗的636名住院患者进行了横截面调查.
- 经过验证的问卷评估了患者赋权 (HCEQ-10) 和SDM参与 (SDM-Q-9).
- 多变量后勤回归分析了患者赋权构造和SDM之间的关系.
主要成果:
- 患者报告了更高的参与决策,与医疗保健专业人员的更大互动,以及对医院护理的更多控制,显示了更高水平SDM参与的可能性.
- 调整后的几率比率表明了重要的关联:参与决策 (AOR 3.63),相互作用 (AOR 1.77) 和控制 (AOR 1.90).
- 虽然90%的人知道他们正在服用抗生素,但只有11%的人知道具体的药名.
结论:
- 通过促进参与决策,加强医疗保健专业人员的互动,并给予对护理的控制权来赋予患者权力,可以显著提高参与抗生素治疗的SDM.
- 这些发现支持加强患者赋权的战略,以实现更好的抗生素管理和以患者为中心的护理.
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