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在风湿病学中共同决策,墨西哥患者和医生的观点:伙伴关系和肯定尊严
Irazú Contreras-Yáñez1, Guillermo Arturo Guaracha-Basañez1, Mariana Lourdes López-Ávila1
1Department of Immunology and Rheumatology.
概括
在墨西哥的风湿病患者和风湿病学家之间,共享决策 (SDM) 的看法是相似的. 适当的SDM与疾病持续时间和治疗变化有关,与患者自主性和尊严有轻微的相关性.
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
- 患者体验 患者体验
背景情况:
- 共享决策 (SDM) 对于优化医疗和患者报告的医疗保健结果至关重要.
- 了解患者和医生对SDM的看法对于改善临床实践至关重要.
研究的目的:
- 为了比较墨西哥的风湿病患者 (RMDs) 和他们的风湿病学家对SDM的看法.
- 在RMD患者中确定与足够的SDM相关的因素.
- 检查患者感知的SDM与尊严之间的关系.
主要方法:
- 一项涉及170个患者与医生接触的横截面研究.
- 经过验证的西班牙问卷 (SDM-9-Q,PDI-Mx,SDM-Doc-Q) 用于评估SDM和尊严.
- 多变量回归分析确定了与足够的SDM相关的因素 (定义为SDM-Q-9得分≥72.6).
主要成果:
- 患者和风湿病学家的SDM得分总体上是相似的.
- 患者在治疗决策需求,选择和信息方面报告得分高于医生.
- 在66.5%的患者中,获得了足够的SDM.
- RMD持续时间和遭遇治疗修改与足够的SDM有关.
结论:
- 墨西哥的RMD患者和风湿病学家对SDM的看法在很大程度上是一致的.
- RMD特征影响了患者对充足SDM的看法.
- 在SDM中的患者自主理想与感知到的尊严之间发现了弱反相关性.
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