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埃塞俄米亚奥罗米亚西绍阿公立医院成年住院患者在医疗保健共享决策中的患者偏好及相关因素

Patient Preferences in Shared Decision Making During Healthcare and Associated Factors Among Adult Admitted Patients at Public Hospitals of West Shoa Oromia, Ethiopia.

作者信息

Gurmu Yonas

机构信息

Department of Nursing, College of Medicine & Health Sciences, Ambo University, Ambo, Ethiopia.

出版信息

Patient Prefer Adherence. 2022 Jul 26;16:1781-1786. doi: 10.2147/PPA.S376600. eCollection 2022.

Abstract

BACKGROUND

Patient preferences mean the choices of individuals to make decisions about health and medical treatment by using their own experiences, beliefs, and values. The aim of this study was to assess patient preferences in shared decision making during healthcare and associated factors among adult admitted patients at public hospitals of West Shoa Oromia, Ethiopia.

METHODS

A cross-sectional study was carried out among adult admitted patients at public hospitals of West Shoa Oromia, Ethiopia. An interviewer-administered with the Control Preference Scale questionnaire instrument tool was used to assess patient preferences in shared decision making. All statistical analysis was performed using SPSS for windows program version 21.

RESULTS

A total of 403 respondents participated. Out of the total respondents, 168 (41.7%) were females. Overall, 64.8% (n=261) of the respondents prefer a collaborative role in shared decision making. Age (AOR 4.11, 95% CI 2.21-7.64), marital status (AOR 0.37, 95% CI 0.20-0.68), and education level (AOR 2.45, 95% CI 1.13-4.87) are significant in patient preference in shared decision making.

CONCLUSION AND RECOMMENDATION

More than half of respondents 261 (64.8%) prefer shared decision making in a collaborative role with healthcare providers. Age, marital status, and level of education are factors associated with the patient preferences in shared decision making. The Ethiopian ministry of health should work on policy of shared decision making. Healthcare providers have to consider patients in shared decision making.

摘要

背景

患者偏好是指个体利用自身经历、信念和价值观对健康和医疗治疗做出决策的选择。本研究的目的是评估埃塞俄比亚奥罗米亚西绍阿公立医院成年住院患者在医疗保健共享决策中的患者偏好及相关因素。

方法

在埃塞俄比亚奥罗米亚西绍阿公立医院的成年住院患者中开展了一项横断面研究。使用由访谈员实施的控制偏好量表问卷工具来评估患者在共享决策中的偏好。所有统计分析均使用适用于Windows的SPSS程序版本21进行。

结果

共有403名受访者参与。在全部受访者中,168名(41.7%)为女性。总体而言,64.8%(n = 261)的受访者倾向于在共享决策中发挥协作作用。年龄(调整后比值比4.11,95%置信区间2.21 - 7.64)、婚姻状况(调整后比值比0.37,95%置信区间

0.20 - 0.68)和教育水平(调整后比值比2.45,95%置信区间1.13 - 4.87)在患者对共享决策的偏好方面具有显著性。

结论与建议

超过一半的受访者261名(64.8%)倾向于在与医疗服务提供者的协作中进行共享决策。年龄、婚姻状况和教育水平是与患者在共享决策中的偏好相关的因素。埃塞俄比亚卫生部应制定共享决策政策。医疗服务提供者在共享决策中必须考虑患者。

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