Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits
Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits
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DOI：
10.1016/j.socscimed.2004.08.004
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发表时间：
2005-04-01
影响因子：
5.4
通讯作者：
Bandeen-Roche, K
中科院分区：
文献类型：
--
作者：
Clayman, ML;Roter, D;Bandeen-Roche, K
这项在美国进行的研究目的是调查在老年初级保健就诊期间，与自主相关的陪伴行为对患者决策活动的影响。对录像进行分析以描述患者和陪伴者的决策活动以及相关的陪伴行为。在整个就诊过程中，使用一个基于自主的框架对这些行为进行编码，该框架包括增强自主性（即促进患者理解、患者参与和医生理解）和减损自主性的行为（即控制患者以及与医生建立联盟）。这个横断面样本中的患者（N = 93）年龄在65岁到95岁之间，大多数是白人（n = 73，79%）且为女性（n = 67，72%）。陪伴者是患者的配偶（n = 42，46%）、成年子女（n = 33，36%）或其他亲属和朋友（n = 15，16%）。陪伴者是就诊过程中的积极参与者，并且增强自主性的行为多于减损自主性的行为。病情较重（与病情较轻相比）的患者的陪伴者更有可能促进患者理解，p（此处似乎内容不完整）
The objective of this study, undertaken in the USA, was to investigate the consequences of autonomy-related companion behaviors on patient decision-making activity during geriatric primary care visits. Videotapes were analyzed to characterize patient and companion decision-making activity and related companion behaviors. These behaviors were coded throughout the visit using an autonomy-based framework that included both autonomy enhancing (i.e. facilitating patient understanding, patient involvement, and doctor understanding) and detracting behaviors, (i.e. controlling the patient and building alliances with the physician). Patients (N = 93) in this cross-sectional sample range in age from 65 to 95 years and are mostly white (n = 73, 79%) and female (n = 67, 72%).Companions are spouses (n = 42, 46%), adult children (n = 33, 36%), or other relatives and friends (n = 15, 16%) of patients. Companions are active participants in medical visits and engage in more autonomy enhancing than detracting behaviors. Companions of sicker (compared with less sick) patients were more likely to facilitate patient understanding, p