探索与慢性疾病管理中的共享决策相关的患者偏好
Turki M Alanzi1, Nouf Alanzi2, Aisha Majrabi3
1Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Cureus
|October 28, 2024
概括
沙特阿拉伯的慢性病患者更喜欢积极参与他们的医疗保健决策和清晰的沟通. 时间限制和复杂的医疗术语等障碍妨碍了共享决策 (SDM).
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 慢性疾病管理 慢性疾病管理
背景情况:
- 共享决策 (SDM) 对于慢性疾病管理至关重要,从父权主义转向协作医疗保健.
- 患者在SDM中的偏好受到各种人口,心理和社会因素的影响.
- 了解这些偏好是提高患者参与和治疗坚持的关键.
研究的目的:
- 探索在沙特阿拉伯的慢性疾病管理中对SDM的患者偏好.
- 评估对SDM的态度,决策辅助工具的影响以及临床医生沟通的作用.
主要方法:
- 在沙特阿拉伯公共医院对409名患有慢性疾病的成人门诊患者进行了横截面调查.
- 收集关于人口统计,决策偏好,沟通经验和信息共享的数据.
- 使用SPSS进行统计分析以确定模式和相关性.
主要成果:
- 显著的多数 (74.2%) 喜欢参与治疗决策和明确的,非专业人士的术语沟通 (82.6%).
- 关键障碍包括约会时间有限 (67.2%),难以理解医学术语 (53.9%) 和恐吓提问 (72.6%).
- 在41-50岁的年龄组中,对SDM的舒适度最高,而在18-30岁的年龄组中,患者满意度更高.
结论:
- 患者对积极参与和清晰沟通的偏好在慢性疾病管理中至关重要.
- 解决时间限制和通信复杂性等障碍对于有效的SDM至关重要.
- 纳入患者偏好可以显著提高在慢性疾病护理中的参与度和满意度.
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