患者激活,社会支持,医生信任和共享透析决策:一个跨部门调查
Fahad Saeed1,2, Basil S Kazi3, Musaib Syed4
1Department of Medicine, Division of Nephrology, Division of Palliative Care, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Kidney medicine
|June 13, 2025
概括
患者激活,社会支持和医生信任与透析患者更好的共享决策 (SDM) 有关. 增强这些因素可以改善患者参与治疗选择.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 维护透析患者往往缺乏关于脏治疗选择的关键信息.
- 有效的共享决策 (SDM) 对于患者在脏护理方面的知情选择至关重要.
- 科医生应该积极地让患者及其家属参与SDM过程.
研究的目的:
- 研究患者激活,社会支持,医生信任和患者报告的SDM在维护透析患者之间的关联.
- 在慢性病管理的背景下,确定可能增强SDM的关键因素.
主要方法:
- 对接受维持透析的住院患者进行了横截面调查.
- 参与者填写了评估SDM (SDM-Q-9),患者激活,社会支持和医生信任的验证问卷.
- 多变量线性回归模型被用来分析这些因素与SDM得分之间的关系.
主要成果:
- 较高的患者激活,更大的社会支持和增加的医生信任与较高的患者报告的SDM得分有显著的关联.
- 具体来说,患者激活,社会支持和医生信任的每一个单位增加都与SDM的显著增加有关.
- 这项研究包括223名受访者,平均SDM得分为57.49.
结论:
- 患者激活,社会支持和医生信任是接受维持透析的患者共享决策的重要相关因子.
- 旨在增强这些因素的干预措施可以改善SDM和患者参与治疗决策.
- 未来的前性研究应该进一步探索考虑置换疗法的患者之间的这些关系.
相关概念视频
01:27Dialysis
277
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
277
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.8K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.8K
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:27Ethical Issues
875
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
875
01:23Assessment of the Cardiovascular System I: Subjective Data
291
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
291