Toward family-centered inpatient medical care: The role of parents as participants in medical decisions
Toward family-centered inpatient medical care: The role of parents as participants in medical decisions
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DOI：
10.1016/j.jpeds.2007.05.022
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发表时间：
2007-12-01
影响因子：
5.1
通讯作者：
Lozano, Paula
中科院分区：
文献类型：
--
作者：
Tarini, Beth A.;Christakis, Dimitri A.;Lozano, Paula
目的确定父母参与医疗决策（MDM）在住院期间，其与父母的自我效能感，并探讨与participation.Study设计的其他因素，我们调查了父母的儿童入院儿科医疗单位，以衡量父母的报告参与MDM住院期间和自我效能与医生的互动（分为三分位数）。我们进行了多变量logistic回归，以评估自我效能和家长参与之间的关联，控制潜在的confusers.Results一百三十个278个合格的父母完成了调查，86%的报告参加MDM对他们的孩子的照顾。调整协变量后，得分在中间和最高的自我效能三分位数的父母有较高的几率参与MDM相比，父母在最低的三分位数。年轻的父母和父母以前住院的孩子也更有可能参与，虽然父母与高中教育程度或更低的可能性较小。结论自我效能与父母参与MDM住院期间调整混杂因素后显着相关。提高自我效能的干预措施也可能改善父母对MDM的参与。
Objectives To determine parental participation in medical decision-making (MDM) during hospitalization and its association with parental self-efficacy and to explore other factors associated with participation.Study design We surveyed parents of children admitted to a pediatric medical unit to measure parental report of participation in MDM during hospitalization and self-efficacy with physician interactions (categorized into tertiles). We performed multivariate logistic regression to evaluate the association between self-efficacy and parental participation, controlling for potential confounders.Results One hundred thirty of 278 eligible parents completed surveys and 86% reported participating in MDM about their child's care. After adjusting for covariates, parents with scores in the middle and highest self-efficacy tertiles had higher odds of participating in MDM compared with parents in the lowest tertile. Younger parents and parents of previously hospitalized children were also more likely to participate although parents with a high school education or less were less likely.Conclusions Self-efficacy was significantly associated with parental participation in MDM during hospitalization after adjusting for confounding factors. Interventions to increase self-efficacy may also improve parental participation in MDM.