患者和牙科专业人员对共享决策的看法
Ji-Young Jung1, Kyung-A Ko1, Yu-An Park1
1Department of periodontology, Research institute of periodontal regeneration, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Journal of dentistry
|March 9, 2026
概括
患者和牙科专业人员认为共享决策 (SDM) 是积极的,但在特定的组成部分上有所不同. 加强结构化的决策可以改善以患者为中心的牙科护理.
科学领域:
- 牙科医学 牙科医学
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对于牙科中以患者为中心的护理至关重要.
- 了解患者和牙科专业人员对SDM的看法对于优化治疗计划至关重要.
研究的目的:
- 为了比较患者,牙医和牙科卫生师在牙科治疗规划期间对SDM的看法.
- 识别 SDM 的各个组成部分所感知参与的差异.
主要方法:
- 在一所大学牙科医院进行横截面问卷研究.
- 涉及180名患者,60名牙医和30名牙科卫生师.
- 使用经过验证的SDM问卷 (SDM-Q-9,SDM-Q-Doc) 分析差异和回归模型.
主要成果:
- 在所有组中报告了高整体SDM得分 (72-84/100).
- 患者报告SDM得分明显高于牙科专业人员.
- 认知决策需要和同意进行评分最高;权衡选项评分最低.
结论:
- 虽然SDM的整体看法是积极的,但存在差异,特别是在权衡治疗选择方面.
- 需要采用更结构化的方法来整合患者的偏好,并提高对牙科护理的理解.
- 反思临床沟通和加强SDM流程可以改善以患者为中心的牙科结果.
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