Shared Decision Making for Psychiatric Rehabilitation Services Before Discharge from Psychiatric Hospitals
Shared Decision Making for Psychiatric Rehabilitation Services Before Discharge from Psychiatric Hospitals
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DOI：
10.1080/10410236.2018.1431018
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发表时间：
2019-05-12
影响因子：
3.9
通讯作者：
Karnieli-Miller, Orit
中科院分区：
文献类型：
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作者：
Zisman-Ilani, Yaara;Roe, David;Karnieli-Miller, Orit
共享决策（SDM）是一种有效的健康沟通模式，旨在促进患者参与治疗决策。在精神卫生领域，SDM已被应用于药物决策，但其对精神病患者个人康复和康复的贡献较少。本研究旨在评估SDM在精神科住院患者出院前选择社区精神科康复服务的效果。在以色列的两家精神病医院采用前后非随机设计，包括两个连续的住院队列，SDM干预（N = 51）和标准治疗（N = 50）。干预队列的参与者报告说，在选择康复服务后，他们的参与度和知识都更高，在6至12个月的随访中，他们比接受标准护理的人使用的服务更多。再住院率无差异。两个显著的相互作用效应表明，随着时间的推移，SDM队列的个人恢复有了更大的改善。SDM可以应用于精神康复决策，并可以帮助促进个人康复作为出院过程的一部分。
Shared decision making (SDM) is an effective health communication model designed to facilitate patient engagement in treatment decision making. In mental health, SDM has been applied and evaluated for medications decision making but less for its contribution to personal recovery and rehabilitation in psychiatric settings. The purpose of this pilot study was to assess the effect of SDM in choosing community psychiatric rehabilitation services before discharge from psychiatric hospitalization. A pre-post non-randomized design with two consecutive inpatient cohorts, SDM intervention (N = 51) and standard care (N = 50), was applied in two psychiatric hospitals in Israel. Participants in the intervention cohort reported greater engagement and knowledge after choosing rehabilitation services and greater services use at 6-to-12-month follow-up than those receiving standard care. No difference was found for rehospitalization rate. Two significant interaction effects indicated greater improvement in personal recovery over time for the SDM cohort. SDM can be applied to psychiatric rehabilitation decision making and can help promote personal recovery as part of the discharge process.