摘要
目的:分析社区全科门诊慢性病患者参与治疗决策现状及影响因素。方法:选取北京市海淀区甘家口社区卫生服务中心2023年9月—2024年9月收治的慢性病患者96例作为观察对象,采用自制社区全科门诊慢性病患者参与治疗决策现状调查问卷收集患者的基本信息,采用患者参与医疗决策量表-5(OPTION-5)评估患者参与治疗决策意愿,分析慢性病患者参与治疗决策现状及影响因素。结果:96例慢性病患者OPTION-5总分为(12.02±0.24)分,其中信息提供为分,患者参与治疗决策的意愿偏低。年龄≥60岁、病程≥4年、患有≥2种慢性病、无家属陪同是社区全科门诊慢性病患者参与治疗决策意愿偏低的独立影响因素(P<0.001)。结论:社区全科门诊慢性病患者参与治疗决策的意愿偏低,主要与患者年龄、病程、患慢性病数量、是否有家属陪同有关,医疗机构可针对相关因素制定相应干预方案,帮助患者更好地参与治疗决策,提高治疗效果和患者满意度。
Objective:To analyze the current situation and influencing factors of participation in treatment decision-making of chronic disease patients in community general practice clinics.Methods:A total of 96 patients with chronic diseases admitted to Beijing Haidian District Ganjiakou Community Health Service Center from September 2023 to September 2024 were selected as the observation objects.The basic data of patients were collected using self-made questionnaire on current situation of participation in treatment decision-making of chronic disease patients in community general practice clinics.The patients'willingness to participate in treatment decision-making was assessed using the 5-item Observing Patient Involvement in Decision Making instrument(OPTION-5).The current situation and influencing factors of participation in treatment decision-making of chronic disease patients were analyzed.Results:Among 96 patients with chronic diseases,the total score of OPTION-5 was(12.02±0.24)points.Among them,the scores of information provision,patient participation,doctor support,decision-making process and decisionmaking outcome were(2.24±0.24)points,(2.46±0.24)points,(2.87±0.14)points,(2.11±0.34)points and(2.34±0.42)points,respectively.Patients'willingness to participate in treatment decision-making was low.Age≥60 years old,course of disease≥4 years,suffering from≥2 kinds of chronic diseases,and no family member accompanying were independent influencing factors for the low willingness of patients with chronic diseases to participate in treatment decision-making in community general practice clinics(P<0.001).Conclusion:The patients with chronic diseases have a low willingness to participate in treatment decision-making in community general practice clinics,which is mainly related to age,course of disease,number of chronic diseases and whether family members accompany them.Medical institutions can formulate corresponding intervention programs according to relevant factors to help patients better participate in treatment decision-making and improve treatment effect and patient's satisfaction.
作者
范晓红
Fan Xiaohong(Department of General Practice,Beijing Haidian District Ganjiakou Community Health Service Center,Beijing 100080,China)
出处
《中国社区医师》
2025年第24期154-156,共3页
Chinese Community Doctors
关键词
慢性病
社区全科门诊
治疗决策
影响因素
Chronic disease
Community general practice clinic
Treatment decision-making
Influencing factor
