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大多数患有压力尿失禁 (SUI) 的患者更喜欢信息化决策,而不是完全共享决策 (SDM). 患者和医生在咨询中对SDM的看法往往不同,这表明对该概念的理解不准确.

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 医疗保健决策 - - 医疗保健决策
  • 以患者为中心的护理

背景情况:

  • 压力尿失禁 (SUI) 提供了多种治疗选择,需要患者咨询.
  • 建议共享决策 (SDM) 适用于偏好敏感的决策,包括患者的偏好.
  • 这项研究调查了加拿大,英国和荷兰SUI的当前决策过程.

研究的目的:

  • 绘制用于管理压力尿失禁的普遍决策风格的地图.
  • 为了比较患者和医生对SUI咨询决策过程的看法.
  • 评估首选和感知决策风格之间的一致性.

主要方法:

  • 这是一项多中心前性研究,涉及5家医院的124名患者和18名医生.
  • 使用控制偏好尺度 (CPS) 问卷调查对患者和医生.
  • 通过使用OPTION-5仪器分析咨询的音频记录来评估SDM的程度.

主要成果:

  • 大多数患者 (63%) 认为决策是有信息的,较少的患者认为决策是共享的 (29%) 或父权主义的 (8%).
  • 与英国和加拿大患者相比,荷兰患者报告了更多的信息决策.
  • 在70%的病例中,患者偏好的和感知到的决策风格一致,但患者和医生对SDM使用的看法显示出显著的差异,与OPTION-5分数不一致.

结论:

  • 患者和医生都普遍喜欢并认为当前的SUI决策是有信息的.
  • 患者和医生对他们的咨询和SDM的应用的看法之间存在差异.
  • 在SUI管理的背景下,SDM的概念对患者和医生来说似乎不准确.