Bravo Paulina, Dois Angelina, Hernández María José, Villarroel Luis
Departamento de Salud de la Mujer, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Salud de Adulto y Senescente, Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2018 Nov;146(11):1286-1293. doi: 10.4067/S0034-98872018001101286.
Decisional conflict refers to the personal uncertainty about which course of action to take when the choice involves risk, regret, or challenge to personal life values.
To determine the level of decisional conflict (DC) of people with Diabetes Mellitus (DM) or High Blood Pressure (HBP) attending primary care centers (PCC) in Chile.
A Spanish version of the Decisional Conflict Scale (DCS) was applied to patients who were recruited if they had DM or HBP, were 18 years old or older, and had an appointment at the PCC the day of the recruitment. The scale was self-administered. Analysis of covariance (ANCOVA) was used to determine association between DC and other variables of interest while controlling confounding variables.
The scale was answered by 1075 participants from 24 PCC aged 62 ± 14 years (74% female). Average score for the DCS scale was 16.8 ± 12.9 of a maximum of 100 points indicating a higher DC. The sub-scale "information" had the highest score (19.9 ± 20.0). Low educational level and older age were significantly associated with higher DCS scores (p < 0.05). Having a bad health perception, deciding to initiate a medical treatment and being attended by a doctor were significantly associated with higher DC. These associations persisted when confounding variables such as sex, age and education were controlled.
People with DM or HBP who have a poor health perception, who initiated their treatment and were attended by a doctor had higher levels of DC, independent of their age and educational level.
决策冲突是指当选择涉及风险、遗憾或对个人生活价值观的挑战时，个人对于采取何种行动方针的不确定性。
确定智利初级保健中心（PCC）中糖尿病（DM）或高血压（HBP）患者的决策冲突（DC）水平。
对患有DM或HBP、年龄在18岁及以上且在招募当天预约了PCC的患者应用西班牙语版的决策冲突量表（DCS）。该量表由患者自行填写。在控制混杂变量的同时，采用协方差分析（ANCOVA）来确定DC与其他感兴趣变量之间的关联。
来自24个PCC的1075名参与者回答了该量表，他们的年龄为62±14岁（74%为女性）。DCS量表的平均得分为16.8±12.9（满分100分），表明DC水平较高。“信息”子量表得分最高（19.9±20.0）。低教育水平和高龄与较高的DCS得分显著相关（p<0.05）。健康认知差、决定开始治疗以及由医生诊治与较高的DC显著相关。在控制了性别、年龄和教育等混杂变量后，这些关联依然存在。
健康认知差、开始治疗且由医生诊治的DM或HBP患者，其DC水平较高，且不受年龄和教育水平的影响。
