紧急精神病学中的三元共享决策:一项探索性研究
G C Roselie van Asperen1,2, R F P de Winter3,4,5, C L Mulder6,7
1Parnassia Psychiatric Institute, Dynamostraat 18, Rotterdam, 3083 AK, the Netherlands. r.vanasperen@parnassiagroep.nl.
BMC psychiatry
|March 5, 2025
概括
在精神病急诊服务中,共同决策往往会在住院或门诊护理方面达成共识. 然而,患者的偏好可能会有所不同,影响治疗后的治疗选择.
科学领域:
- 精神病学是一个精神病学.
- 决策科学 决策科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 调查精神病紧急服务的共享决策.
- 专注于分离后的住院患者与门诊护理决策.
- 检查患者或其他重要偏好取代临床判断的情况.
研究的目的:
- 了解精神病紧急护理中的三元共享决策过程.
- 确定影响住院和门诊治疗之间的选择因素.
- 探索心理护理中偏好覆盖的场景.
主要方法:
- 在荷兰鹿特丹大区进行的探索性研究.荷兰.
- 接受调查的患者,其他重要的人,以及入院/门诊护理的专业偏好.
- 利用描述性统计和偏好分类来分析协议模式.
主要成果:
- 在5680项评估中,48.2%的评估结果显示,在护理类型方面存在三元一致.
- 患者的不同意发生在38.5%的病例中;显著的其他人在11.0%的病例中不同意.
- 专业建议在57.0%的时间内被遵循,患者偏好为9.4%,有意者为11.0%.
结论:
- 对于住院或门诊护理的共识往往可以在选后实现.
- 当患者/其他重要人的偏好与其他人的偏好发生冲突时,就会出现分歧.
- 专业建议具有影响力,但可以被忽视,特别是在非自愿的护理方面.
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