共同决策：一项评估沙特阿拉伯患者认知与偏好的横断面研究。
Shared Decision-Making: A Cross-Sectional Study Assessing Patients Awareness and Preferences in Saudi Arabia.
作者信息
Aljaffary Afnan, Alsheddi Fatimah, Alzahrani Raghad, Alamoudi Somayyah, Aljuwair Mona, Alrawiai Sumaiah, Aljabri Duaa, Althumairi Arwa, Hariri Bayan, Alumran Arwa
机构信息
Department of Health Information Management & Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
出版信息
Patient Prefer Adherence. 2022 Apr 13;16:1005-1015. doi: 10.2147/PPA.S332638. eCollection 2022.
BACKGROUND AND AIM
Shared decision-making (SDM) has become broadly accepted during the consultation, especially when there are many options of treatment. This study aims to assess patients' levels of awareness and preferences of SDM in Saudi Arabia.
METHODS
This is a cross-sectional study targeting patients in Saudi Arabia. Two validated questionnaires were used, the first validated questionnaire focuses on measuring knowledge, attitude and experiences of shared-decision making. The second questionnaire is the the Autonomy-Preference-Index focusing on patients' preferences for being involved in SDM. Relevant items to the study aim were chosen and translated into Arabic. Psychometric testing was conducted for Arabic and English versions and tested for content and face validity. The questionnaire administered online via social media channels, between February 2021 and May 2021. A total of 411 respondents completed the questionnaire.
RESULTS
The findings showed a positive association between awareness and preferences of SDM among patients in Saudi Arabia. In the awareness of the SDM domain, females reported higher scores than male participants (t = -4.504, P < 0.001). Saudis reported higher scores in their awareness of SDM than non-Saudis (t = 2.569, P = 0.011). Participants without health insurance reported higher scores in their awareness of SDM than those insured (t = -2.130, P = 0.034). Participants with degree have higher knowledge levels than participants with no degree (f = 10.034, P < 0.001). Females reported higher scores in their preferences of SDM than the male (t = -2.099, P = 0.036). Participants who visited private health-care settings in their last clinical encounter reported higher preferences of SDM than participants who received care in other settings (f = 2.653, P = 0.048).
CONCLUSION
The study concludes that the more aware a patient is, the more likely they prefer SDM practice. This finding can support health-care policymakers in developing SDM policies that enhance patient-centered care.
背景与目的
共同决策（SDM）在会诊过程中已被广泛接受，尤其是在存在多种治疗选择时。本研究旨在评估沙特阿拉伯患者对共同决策的认知水平和偏好。
方法
这是一项针对沙特阿拉伯患者的横断面研究。使用了两份经过验证的问卷，第一份经过验证的问卷侧重于衡量共同决策的知识、态度和经验。第二份问卷是自主性-偏好指数，侧重于患者参与共同决策的偏好。选择了与研究目的相关的项目并翻译成阿拉伯语。对阿拉伯语和英语版本进行了心理测量测试，并测试了内容和表面效度。问卷于2021年2月至2021年5月通过社交媒体渠道在线发放。共有411名受访者完成了问卷。
结果
研究结果显示，沙特阿拉伯患者对共同决策的认知与偏好之间存在正相关。在共同决策领域的认知方面，女性报告的得分高于男性参与者（t = -4.504，P < 0.001）。沙特人在共同决策认知方面的得分高于非沙特人（t = 2.569，P = 0.011）。没有医疗保险的参与者在共同决策认知方面的得分高于有保险的参与者（t = -2.130，P = 0.034）。有学位的参与者比没有学位的参与者知识水平更高（F = 10.034，P < 0.001）。女性在共同决策偏好方面的得分高于男性（t = -2.099，P = 0.036）。在最近一次临床就诊中去过私立医疗机构的参与者比在其他机构接受治疗的参与者对共同决策的偏好更高（F = 2.653，P = 0.048）。
结论
该研究得出结论，患者的认知程度越高，他们越倾向于共同决策实践。这一发现可为医疗保健政策制定者制定增强以患者为中心的护理的共同决策政策提供支持。
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