马尔代夫的儿科医生与患有慢性疾病的儿童 (或他们的父母) 之间的共同决策:一项多中心探索性研究
Ricardo O Wijngaarde1, Ahmed Faisal2, Maahthaab Nizar3
1Amsterdam University Medical Center, University of Amsterdam, Department of Surgery, Meibergdreef 9, Amsterdam 1105AZ, the Netherlands.
Patient education and counseling
|September 23, 2025
概括
在马尔代夫的慢性病儿童儿科护理中,共享决策 (SDM) 尚未得到充分利用. 改善SDM需要对它的好处进行教育,并为儿科医生提供沟通和决策支持方面的培训.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 在儿科护理中越来越受欢迎,特别是在需要长期治疗决策的慢性疾病儿童中.
- 在马尔代夫,对SDM水平和影响因素进行了基线评估.
研究的目的:
- 测量马尔代夫儿科医生与慢性病儿童或他们的父母之间共享决策 (SDM) 的当前水平.
- 探索可能影响该群体SDM的因素.
主要方法:
- 一项多中心,横截面的观察性研究,涉及78次与慢性病儿童的咨询.
- 使用OPTION-5仪器分析了咨询录音;使用SDM-Q-9和SDM-Q-Doc工具评估了患者和儿科医生的感知.
- 多变量线性回归确定了影响SDM水平的因素.
主要成果:
- 对SDM的OPTION-5中位数得分低于20%,而患者和儿科医生认为SDM得分高 (分别为96%和84%).
- 孩子的年龄,咨询时间和医疗中心显著影响了SDM水平.
- 咨询语言和疾病类别与医生对患者参与的看法有关.
结论:
- 马尔代夫的儿科医生和慢性病儿童的护理人员中并不广泛实行SDM,低OPTION-5分数证明了这一点.
- 低SDM可能是由于有限的认识,知识差距和儿科医生在SDM原则和技能方面的培训不足.
- 建议重点关注教育,SDM培训,沟通技巧和决策支持工具的干预措施,以加强马尔代夫儿科护理中的SDM.
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