Emana Desalegn, Kitaba Mulu, Regea Firaol, Lekasa Shalama
Department of Nursing, College of Health Sciences, Assosa University, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Ambo University, Ethiopia.
Heliyon. 2023 Jun 1;9(6):e16786. doi: 10.1016/j.heliyon.2023.e16786. eCollection 2023 Jun.
Patient involvement in health care empowers patients to choose treatment and improves the quality of care and treatment outcomes. Despite its purpose, shared decision-making in clinical encounters was not given attention. So, this study aims to assess the level of shared decision-making among hypertensive patients.
To study the level of shared decision-making among hypertensive patients.
The institution-based cross-sectional study method was used to collect data in three randomly selected public hospitals in the West Shoa Zone. A simple random sampling method was used for the selection of study participants. A pretested and structured shared decision-making questionnaire was used to measure patient engagement in decision-making. A descriptive analysis was done to determine the individual patient's level of involvement in shared decision-making. A 95% confidence interval (95% CI) was used to determine the level of shared decision-making.
A total of 406 patients with hypertension participated in the study, yielding a response rate of 96.2%. Totally, 45.3% [CI (43.28-46.75)] of the participants have actively participated in shared decision-making. On the other hand, 53.6% [CI (49.42-56.7)] of participants reported they have been understood by their caregivers, and 52.9% [CI (46.2-58.9)] of the participants reported their caregiver helped them understand all the treatment options. On the other hand, only 121 patients, i.e., 34.7% [CI [28.86-37.8]] of the participants, have jointly chosen one type of treatment with their care provider.
The level of involvement in shared decision-making among hypertensive patients is low in the study area compared to the expected standard of shared decision-making. So enhanced patient involvement in health care decisions is important.
患者参与医疗保健能使患者有能力选择治疗方案，并提高护理质量和治疗效果。尽管有其目的，但临床诊疗中的共同决策却未受到关注。因此，本研究旨在评估高血压患者的共同决策水平。
研究高血压患者的共同决策水平。
采用基于机构的横断面研究方法，在西绍阿地区随机选取的三家公立医院收集数据。采用简单随机抽样方法选取研究参与者。使用经过预测试的结构化共同决策问卷来衡量患者在决策过程中的参与度。进行描述性分析以确定个体患者在共同决策中的参与程度。使用95%置信区间（95%CI）来确定共同决策水平。
共有406名高血压患者参与了该研究，应答率为96.2%。总体而言，45.3%[CI（43.28 - 46.75）]的参与者积极参与了共同决策。另一方面，53.6%[CI（49.42 - 56.7）]的参与者表示他们被医护人员理解，52.9%[CI（46.2 - 58.9）]的参与者表示他们的医护人员帮助他们理解了所有治疗选择。另一方面，只有121名患者，即34.7%[CI[28.86 - 37.8]]的参与者与他们的医护人员共同选择了一种治疗方式。
与共同决策的预期标准相比，研究地区高血压患者在共同决策中的参与程度较低。因此，提高患者在医疗保健决策中的参与度很重要。
