患者和风湿病学家对共享决策实施的看法:拉丁美洲调查
Adriana Lucía Vanegas-García1, Mauricio Restrepo-Escobar2, Álvaro Arbeláez-Cortés3
1Hospital Universitario de San Vicente Fundación, Medellín, Colombia; Grupo de Reumatología de la Universidad de Antioquia, Medellín, Colombia.
Reumatologia clinica
|December 13, 2025
概括
拉丁美洲的风湿病学家报告说,在实践中实施共享决策 (SDM) 的频率高于风湿病患者 (RMD). 这突显了人们对SDM流程实施的看法上的差距,需要进一步研究以改善以患者为中心的护理.
科学领域:
- 类风湿病学 类风湿病学
- 医疗保健服务研究 医疗服务研究
- 患者与医生的沟通 患者与医生的沟通
背景情况:
- 共享决策 (SDM) 与更好的患者和医生结果有关.
- 成功实施SDM需要患者和医疗保健提供者之间达成协议.
- 感知到SDM实施的差异可能会影响护理质量.
研究的目的:
- 在日常临床实践中对SDM流程实施的患者和风湿病学家的看法进行比较.
- 在拉丁美洲的风湿病治疗中识别SDM理解和应用中的潜在缺口.
主要方法:
- 在2024年4月在拉丁美洲进行的跨部门基于网络的调查.
- 使用了经过验证的SDM-Q-9 (患者) 和SDM-Q-Doc (医生) 问卷.
- 使用描述性统计和比较测试 (基平方,曼-惠特尼U) 分析的数据在p<0.05.时具有显著性.
主要成果:
- 在多个拉丁美洲国家对369名患者 (主要是SLE,RA) 和144名风湿病专家进行了调查.
- 与患者相比,医生报告在SDM步骤中的参与度更高,特别是在讨论治疗选择时.
- 风湿病学家 (96.5%) 的比例显著高于参与SDM的患者 (62.3%),p=0.001.
结论:
- 拉丁美洲的风湿病学家认为,在临床实践中,SDM的实施比风湿病患者更大.
- 在医生和患者之间对SDM流程执行的看法存在显著差异.
- 进一步的研究对于加强以患者为中心的护理和将SDM实践与患者经验保持一致至关重要.
相关概念视频
Patient-centered Care
2.8K
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...
2.8K
Rheumatic Heart Disease III: Medical Management
264
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
264
Peripheral Artery Disease III: Interprofessional Care
221
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
221
Health Literacy
5.2K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
5.2K
Rheumatic Heart Disease IV: Nursing Management
247
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
247
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
443
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
443


