摘要
目的:研究慢性病共存患者在用药过程中决策的参与情况,探索其影响因素与内在机制,为促进医患共同决策模式的建立提供参考。方法:采用整群抽样的方法,选取武汉市的6家医院以及2家敬老院,开发患者参与决策程度评估量表,利用logistic回归分析其影响因素。结果:共调查497人。患者是否服用中药、受教育程度、年收入情况、抑郁情况均对其用药决策参与程度有影响(P<0.05)。整体显示参与用药决策程度高的患者少。结论:多数患者用药决策参与程度低。多个因素影响患者参与决策,应考虑从多个角度促进患者参与决策,推动医患共同决策模式的建立。
Objective:To study the participation of elderly patients with chronic diseases in decision-making during medication,to explore its influencing factors and internal mechanisms,to provide references for promoting the establishment of a joint decision-making model between doctors and patients.Methods:The cluster sampling method was used to select 6 hospitals and 2 nursing homes in Wuhan,develop a patient participation decision-making evaluation scale,and logistic regression was used to analyze its influencing factors.Results:A total of 497 people were investigated.Whether the patient took traditional Chinese medicine,education level,annual income,and depression all had an impact on their participation in medication decision-making(P<0.05).As a whole,there were fewer patients who were highly involved in medication decision-making.Conclusion:Most patients have low participation in medication decision-making.Multiple factors affect patients'participation in decision-making.We should consider promoting patients'participation in decision-making from multiple perspectives and promote the establishment of a joint decision-making model between doctors and patients.
作者
王佳
刘雨鑫
王若溪
张治国
黄锐
潘凌壮
冯达
WANG Jia(School of Pharmacy,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)
出处
《医学与社会》
北大核心
2021年第1期46-50,共5页
Medicine and Society
基金
国家自然科学基金资助项目,编号为72804052。
关键词
慢性病患者
老年人
多重用药
用药决策
武汉
Patient with Chronic Disease
The Elderly
Polypharmacy
Medication Decision-making
Wuhan
