Measuring patients’ desire for autonomy
Measuring patients’ desire for autonomy
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衡量患者的自主愿望
DOI：
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发表时间：
2007
影响因子：
5.7
通讯作者：
M. Moskowitz
中科院分区：
文献类型：
--
作者：
J. Ende;L. Kazis;A. Ash;M. Moskowitz
一种测量患者对两个确定的自主性维度的偏好的工具，他们希望做出医疗决定和他们希望被告知，并进行了可靠性和有效性测试。作者发现，患者更喜欢主要由他们的医生而不是他们自己做出决定，尽管他们非常希望被告知。患者的决策和信息寻求偏好之间没有相关性（r=0.09; p=0.15）。对于大多数患者来说，当他们面临更严重的疾病时，他们做出决定的愿望就会下降。老年患者比年轻患者更不愿意做出决定和被告知（每次比较p<0.0001）。然而，只有19%的患者之间的决策和12%的信息寻求的方差可以解释逐步回归模型使用社会人口和健康状况变量作为预测因子。这些研究结果的概念和临床意义进行了讨论。关键词：病人自主;决策;调查研究。
An instrument for measuring patients’ preferences for two identified dimensions of autonomy, their desire to make medical decisions and their desire to be informed, was developed and tested for reliability and validity. The authors found that patients prefer that decisions be made principally by their physicians, not themselves, although they very much want to be informed. There was no correlation between patients’ decision making and information-seeking preferences (r=0.09; p=0.15). For the majority of patients, their desire to make decisions declined as they faced more severe illness. Older patients had less desire than younger patients to make decisions and to be informed (p<0.0001 for each comparison). However, only 19% of the variance among patients for decision making and 12% for information seeking could be accounted for by stepwise regression models using sociodemographic and health status variables as predictors. The conceptual and clinical implications of these findings are discussed. Key words: patient autonomy; decision making; survey research.