Study on Expected and Actual Participation in Clinical Decision-making Among Patients Undergoing Interventional Therapy for Cardiovascular Diseases
Objective To understand the expected and actual participation in clinical decision-making among patients undergoing interventional therapy for cardiovascular diseases,and analyze its influencing factors,aiming to provide theoretical support for enhancing patient participation in clinical decision-making.Methods A total of 240 patients were selected who underwent interventional therapy for cardiovascular diseases at Shanghai East Hospital Affiliated to Tongji University from November 2021 to April 2022.They were investigated using the"Patient Expectation for Participation in Medical Decision-making Scale"and the"Questionnaire Measuring Patient Participation in Medical Decision-making".The influencing factors of patient participation in clinical decision-making were explored by univariate analysis,multivariate linear regression analysis and multivariate logistic regression analysis.Results The total score of expectation for participation in clinical decision-making was(50.62±10.33)points in patients undergoing interventional therapy for cardiovascular diseases.The actual participation was high in 19.17%of the patients and low in 80.83%.The multivariate linear regression analysis showed that patient expectation for participation in clinical decision-making was influenced by education level,marital status,fertility status and whether they were first receiving interventional therapy,which can explain 27.00%of the total variation.The multivariate logistic regression analysis showed that the actual participation of patients in clinical decision-making was influenced by education level,whether they knew the name of their diagnosed diseases,and whether they were first receiving interventional therapy.Conclusion Patients undergoing interventional therapy for cardiovascular diseases exhibit a high expectation for participation in clinical decision-making,yet their actual participation is limited.Their expected and actual participation in clinical decision-making was influenced by education level and whether they were first receiving interventional therapy.
万方数据
维普
