帕金森病患者应对方式与医患关系及共同决策的独立性
Independence of Coping Styles With the Patient-Doctor Relationship and Shared Decision-Making in People With Parkinson's Disease.
作者信息
Sarabia-Tapia Cynthia, Corona Teresa, Lopez-Alamillo Susana, Resendiz-Henriquez Etienne, Cervantes-Arriaga Amin, Rodríguez-Violante Mayela
机构信息
Clinical Neurodegenerative Research Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Movement Disorder Clinic, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
出版信息
J Patient Exp. 2020 Dec;7(6):1271-1277. doi: 10.1177/2374373520918725. Epub 2020 Apr 13.
INTRODUCTION
Coping styles have a mediating effect on several clinical outcomes. The patient-doctor relationship and the patient's role in decision-making process might be influenced by the way the patient reacts to certain stressors or problems due to the evolution of their disease.
OBJECTIVE
To assess the role of coping strategies on the patient-doctor relationship and the patient's role in decision-making in a group of people with Parkinson's disease (PD).
METHODS
A cross-sectional study was carried out. The Coping Style Questionnaire (CSQ-40), the 9-item Patient-Doctor Relationship Questionnaire (PDRQ-9), and the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) were applied.
RESULTS
A total of 36 women and 64 men with PD were included. The predominant coping style in women was rational. In men, the detachment style was more frequent. The SDM-Q-9 mean score was 33.2 ± 11.2 (transformed median score of 80). The PDRQ-9 average score was 2.9 ± 1 (sum score of 26.1 ± 8.7). No association was found between the CSQ-40 with the PDRQ-9 or SDM-Q-9. On the other hand, the PDRQ-9 mean score and the transformed SDM-Q-9 score highly correlated ( = 0.62, < .001).
CONCLUSION
Patient-doctor relationship and shared decision-making are independent of the coping style in people with PD.
引言
应对方式对多种临床结果具有中介作用。由于疾病的发展，患者对某些压力源或问题的反应方式可能会影响医患关系以及患者在决策过程中的角色。
目的
评估应对策略在一组帕金森病（PD）患者的医患关系以及患者决策角色中的作用。
方法
进行了一项横断面研究。应用了应对方式问卷（CSQ - 40）、9项医患关系问卷（PDRQ - 9）和9项共同决策问卷（SDM - Q - 9）。
结果
共纳入36名患有PD的女性和64名男性。女性中占主导的应对方式是理性型。在男性中，超脱型更为常见。SDM - Q - 9的平均得分为33.2±11.2（转换后的中位数得分为80）。PDRQ - 9的平均得分为2.9±1（总分26.1±8.7）。未发现CSQ - 40与PDRQ - 9或SDM - Q - 9之间存在关联。另一方面，PDRQ - 9的平均得分与转换后的SDM - Q - 9得分高度相关（= 0.62，<0.001）。
结论
PD患者的医患关系和共同决策与应对方式无关。
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