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共享决策与不确定性之间的相互作用 - 一个概念分析和经验说明

Arwen H Pieterse¹, Fiorella L Huijgens², Ruben D Vromans³

¹Department of Biomedical Data Sciences, Leiden University Medical Center, the Netherlands; University of Oslo, Faculty of Medicine, Oslo, Norway.

Patient education and counseling

|February 20, 2026

概括

共享决策 (SDM) 涉及到在临床医生和患者之间驾不确定性. 本研究探讨了治疗决策过程中不确定性如何表现和管理,强调了需要SDM培训来解决这种相互作用的必要性.

科学领域:

医疗保健中的决策
患者与临床医生的沟通.
健康心理学健康心理学

背景情况:

当治疗选择存在不确定性时,共享决策 (SDM) 是至关重要的.
临床医生和患者在SDM期间都会经历不确定性.
SDM与不确定性的交集需要进一步探索.

研究的目的:

从概念上描述不确定性如何表现和影响SDM中的临床医生和患者.
实证地说明治疗决策过程中不确定性的表达和谈判.

主要方法:

关于SDM中不确定性的文献搜索.
视频录制的瘤咨询的探索性分析.
临床医生与患者相互作用的微分析,重点关注不确定性.

主要成果:

患者参与SDM涉及临床医生和患者之间相互交流的不确定性.
临床医生和患者积极澄清他们的不确定性感知.
临床医生采用策略来谈判不确定性,尽管达成共识仍然不清楚.

结论:

这项研究增强了对不确定性与SDM之间的相互作用的理解.
解决和谈判不确定性对于有效的患者参与SDM至关重要.
SDM培训应该为临床医生提供管理不确定性的共享理解的能力.

关键词:

概念性审查概念性审查临床相互作用的微分析.谈判方式谈判方式在瘤学瘤学.SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM SDM 治疗方法治疗方法不确定性不确定性

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