患者和医生的观点中的不一致性,在戒烟过程中应考虑哪些背景因素
Alexandre Malmartel1,2, Philippe Ravaud1,3, Viet-Thi Tran1,3
1Université Paris Cité, METHODS Team, CRESS, INSERM, INRA, F-75004, Paris, France.
Family practice
|August 2, 2024
概括
医生和患者在戒烟的因素上大致一致,但个人的重要性排名有很大差异. 根据患者的价值观调整干预措施对于有效的戒烟支持至关重要.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 临床医学 临床医学
背景情况:
- 戒烟干预措施必须考虑个体患者的情况和需求.
- 患者和医生对戒烟的背景因素的看法存在差异.
研究的目的:
- 识别和比较患者和医生对影响戒烟的上下文因素的观点.
- 为了突出这些因素在感知重要性上的不一致性.
主要方法:
- 通过文献审查和全科医生采访确定了36个上下文因素.
- 通过在线配对比较实验收集患者和医生的偏好.
- 使用布拉德利·特里·卢斯模型和相关系数分析数据.
主要成果:
- 在整体医生和患者对上下文因素的看法之间发现了高相关性 (r=0.76).
- 对个别因素的具体重要性 (能力) 有较差的共识 (ICC=0.42).
- 发现了显著的差异,40%的医生顶级排名因素不在患者顶级排名中.
结论:
- 以患者为中心的护理在戒烟方面至关重要.
- 讨论应该超越感知的重要性,揭示患者的真实价值观和背景.
- 解决这些差异可以提高干预的有效性,避免忽视患者的需求.
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