Shared decision-making in psychiatry: a study of patient attitudes
Shared decision-making in psychiatry: a study of patient attitudes
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DOI：
10.1177/1039856218758562
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发表时间：
2018-10-01
影响因子：
1.8
通讯作者：
Taylor, Mark
中科院分区：
文献类型：
--
作者：
Nott, Josie;Mcintosh, Aspen;Taylor, Mark
目的：尽管缺乏支持性证据，但共同决策（SDM）在精神卫生保健中被认为是有益的。我们的目的是在“真实世界”的医院样本中获得患者对SDM的看法。方法：采用结构化的有效问卷，考察SDM对治疗选择的影响，以及SDM是否影响治疗态度。采用简易精神状态测验评估决策能力。结果：共有109人参与，60%的人报告经历SDM。SDM与积极用药态度正相关。根据《精神卫生法》被拘留者的SDM水平较低。结论：SDM使患者对药物的态度更加积极，并可能提高治疗依从性。SDM可能特别有利于那些受到非自愿治疗的人，而且实施起来并不繁重。
Objectives: Shared decision-making (SDM) is promoted as beneficial in mental healthcare, despite a dearth of supportive evidence. We aimed to obtain patients' perspective on SDM in a 'real world' hospital sample.Methods: Structured validated questionnaires were used to examine SDM with regard to treatment choices, and whether SDM influences attitudes towards treatment. The Mini-Mental State Examination was used to assess decision-making capacity.Results: A total of 109 individuals participated, with 60% reporting experiencing SDM. SDM positively correlated with positive attitudes to medication. Those detained under the Mental Health Act had lower levels of SDM.Conclusions: SDM leads to more positive attitudes towards medication and may improve adherence with treatment. SDM may particularly benefit those subject to involuntary treatment and is not onerous to practice.