共享决策对更年期症状管理中的冲突和遗憾的影响:一项干预研究
Leyla Mortazavi Ghehi1, Mohammad Asghari Jafarabadi2,3,4, Sevil Hakimi5
1Student Research Committee, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC women's health
|May 20, 2025
概括
共享决策 (SDM) 显著减少了绝经妇女管理症状的决策冲突和遗憾. 这种方法还提高了女性对更年期症状管理策略的认识,使他们能够在医疗保健选择中获得权力.
科学领域:
- 生殖健康 生殖健康
- 妇女健康 妇女健康
- 决策科学 决策科学 决策科学
背景情况:
- 更年期妇女在选择合适的症状管理干预措施方面遇到挑战.
- 对治疗适宜性的担忧往往使更年期妇女的选择变得复杂.
- 共同决策 (SDM) 被探讨为应对这些挑战的一种方法.
研究的目的:
- 评估SDM对更年期症状管理中的决策冲突和遗憾的影响.
- 评估基于SDM的辅导与帮助决策的小册子相结合的有效性.
主要方法:
- 一项干预性研究涉及44名绝经妇女 (≥45岁) 在伊朗塔布里兹.
- 随机分配到一个干预组 (SDM + 决策辅助) 和一个控制组.
- 收集关于人口统计,管理策略意识,决策冲突和遗憾的数据;使用t-test和ANCOVA进行分析.
主要成果:
- 与对照组相比,干预组的决策冲突 (MD: -2.07,P=0.001) 和决策后悔 (MD: -1.25,P=0.03) 显著减少.
- 干预组的女性对激素治疗 (MD: 3.38,P=0.006) 和自然产品 (MD: 2.44,P=0.002) 进行症状管理的意识显著增加.
- 这些改善是在干预后观察到的.
结论:
- 基于SDM的咨询有效地提高了女性对更年期症状管理选择的认识.
- SDM显著减少了绝经妇女的决策冲突和遗憾.
- 这些发现支持SDM作为改善更年期症状管理的有价值方法.
相关概念视频
Menopause
112
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
112
Decision Making: Traditional Method
4.0K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
4.0K
Decision Making: P-value Method
5.2K
The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can...
5.2K
Decision Making
78
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
78
Frustration and Conflict: Avoidance-Avoidance, Double-Approach Avoidance
41
Avoidance-avoidance conflict refers to a psychological situation where a person must choose between two or more unpleasant alternatives. These conflicts are particularly stressful because neither option is desirable. This dilemma is often expressed in sayings like "caught between a rock and a hard place" or "between the devil and the deep blue sea." For instance, individuals who fear dental procedures may find themselves torn between enduring a painful toothache or facing the...
41
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K


