Shared decision-making preferences of people with severe mental illness
Shared decision-making preferences of people with severe mental illness
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DOI：
10.1176/appi.ps.58.9.1219
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发表时间：
2007-09-01
影响因子：
3.8
通讯作者：
Wolford, George L.
中科院分区：
文献类型：
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作者：
Adams, Jared R.;Drake, Robert E.;Wolford, George L.
目的：探讨重度精神疾病患者在共同决策中的角色认知和偏好。方法：在本初步研究中，对30名在社区精神卫生中心患有严重精神疾病的成年来访者进行精神药物治疗、康复和一般医疗护理的决策调查。结果：客户普遍表示希望更多地参与精神科护理的决策，而不是目前所经历的。关于使用新的精神药物，23人（77%）更喜欢自主或共享的角色，但只有11人（37%）认为他们目前的角色超过被动（z= -2.83, p= 0.005）。与一般医疗护理相比，患者在精神科护理的药物决策中更倾向于被动的角色（7人，或23%，23人，或77%；z= -3.01, p= 0.003）。结论：大多数患有严重精神疾病的患者倾向于共同决策，特别是在他们的精神卫生保健方面。
Objective: Perceived roles and preferences were explored for shared decision making among persons with severe mental illnesses. Methods: In this pilot study, 30 adult clients with severe mental illness in a community mental health center were surveyed about decision making regarding psychiatric medications, rehabilitation, and general medical care. Results: Clients generally expressed a desire for greater participation in decisions about psychiatric care than they currently experienced. Regarding use of new psychiatric medications, 23 persons (77%) preferred autonomous or shared roles, but only 11 (37%) rated their current roles as more than passive (z= -2.83, p=.005). Clients were less likely to prefer a passive role in medication decisions about psychiatric care than about general medical care (seven persons, or 23%, versus 23 persons, or 77%; z= -3.01, p=.003). Conclusions: Most clients with severe mental illnesses prefer shared decision making, particularly in relation to their mental health care.