患者伴侣在 (共享) 决策中的辩论性作用
Lotte van Poppel1, Roosmaryn Pilgram2
1University of Groningen, Oude Kijk in 't Jatstraat 26, Groningen 9712 EK, the Netherlands.
Patient education and counseling
|December 31, 2024
概括
患者伴侣通过参与讨论和组建联盟,显著影响医疗决策. 他们在共同决策 (SDM) 中的贡献至关重要,特别是当他们与患者结盟时.
科学领域:
- 医学沟通 医学沟通
- 论证理论 论证理论是一个论证理论.
- 分享决策的共同决策.
背景情况:
- 患者伴侣在医疗咨询中发挥着重要作用.
- 了解他们的参与是有效的共享决策 (SDM) 的关键.
研究的目的:
- 分析患者伴侣参与咨询的论点.
- 确定什么时候伴侣贡献对SDM有意义.
主要方法:
- 对10次转录的医疗咨询进行了定性分析.
- 论证理论的应用,以识别讨论情况,角色,分歧和联盟.
主要成果:
- 每次咨询中,平均有4.3个涉及同伴的讨论场合.
- 伴侣们参与了分歧和联盟的形成.
- 意见分歧涉及诊断和治疗选择.
结论:
- 患者的伴侣可以显著影响治疗决策.
- 伴侣的影响力取决于他们的角色,分歧类型和联盟形成.
- 伴侣的投入应该被整合到SDM中,特别是当与患者结盟时.
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