在严重的大动脉狭窄症中共同决策:老年患者的经验和需求
The Journal of cardiovascular nursing
|February 12, 2025
概括
患有严重大动脉狭窄症 (AS) 的老年患者希望从医疗保健专业人员和非正式照顾者那里获得共享决策 (SDM) 支持. 提高SDM涉及更好的准备和目标探索,以改善生活质量.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
背景情况:
- 对于老年患者在严重大动脉狭窄 (AS) 中的共同决策 (SDM) 的经验和偏好了解有限.
- SDM对这一人口群体的健康结果的影响在很大程度上是未知的.
研究的目的:
- 探索严重AS的老年患者在SDM方面的经验,偏好和需求.
- 检查感知SDM水平与患者的生活质量,抑郁和焦虑之间的关联.
主要方法:
- 一个描述性的,探索性的多方法研究,利用调查,重点小组和采访.
- 涉及70岁以上的严重AS患者,在基线和3个月后期收集的数据.
- 通过多变量线性回归分析定量数据;通过专题分析分析定性数据.
主要成果:
- 29.6%的患者报告了最大感知SDM. 更高的感知SDM与更好的生活质量有关 (P = .004).
- 患者对未来决策的偏好倾向于合作角色 (55.6%).
- 定性发现突出了对非正式护理人员支持的偏好,以及对SDM更好的准备和目标探索的需要.
结论:
- 医疗保健专业人员应积极地让患者和非正式照顾者参与严重AS的共享决策过程.
- 个性化治疗需要患者根据日常活动和偏好来定义他们的目标.
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