患者自主权和控制偏好在倒治疗中的决策决策
Julia K Shinnick1, Araba A Jackson2, Russel Stanley3
1Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, Women & Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
Urogynecology (Philadelphia, Pa.)
|October 14, 2025
概括
患者对治疗失落的医疗决策的偏好各不相同,代表性不足的患者表现出不同的自治偏好. 大多数患者希望在他们的泌尿外科护理决策中发挥积极作用.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 医疗决策的制定 医疗决策的制定
- 健康差异 在健康上的差异
背景情况:
- 患者的偏好在关于盆腔器官脱落 (POP) 治疗的讨论中至关重要.
- 了解这些偏好,特别是在代表性不足的人群中,是公平护理的关键.
研究的目的:
- 使用控制偏好尺度 (CPS) 和自主偏好指数 (API) 来比较代表性不足的患者 (UP) 和非UP患者之间的自主偏好.
- 评估患者参与决策的情况,在与泌尿科医生进行商后.
主要方法:
- 对207名在8个学术医疗中心接受POP治疗咨询的患者进行了二次分析.
- 参与者完成了CPS (衡量主动与被动决策的偏好) 和API (评估信息搜索和决策偏好).
- 统计分析比较了UP和非UP之间的分数,调整了人口和临床因素.
主要成果:
- 在UP和非UP之间没有观察到CPS得分的显著差异;大多数参与者 (74.7%) 喜欢积极的角色.
- 与非UP相比,UP的API分数在UP中明显较低 (P=0.008).
- 自我识别的非西班牙裔黑人种族在对共变量进行调整后 (P=0.023) 与较低的API分数有关.
结论:
- 虽然大多数患者希望在脱落治疗决策中发挥积极作用,但自主偏好可能会有所不同,特别是在代表性不足的群体中.
- 这些发现突出了自治如何被感知或表达的潜在差异,需要在泌尿后科护理中采取量身定制的方法.
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