共同决策对系统性红斑狼疮管理中医生信任度的影响:TRUMP2-SLE前瞻性队列研究。

IF 3.7 2区 医学 Q1 RHEUMATOLOGY Arthritis Care & Research Pub Date : 2024-08-04 DOI:10.1002/acr.25409
Ryusuke Yoshimi, Nobuyuki Yajima, Chiharu Hidekawa, Natsuki Sakurai, Nao Oguro, Kenta Shidahara, Keigo Hayashi, Takanori Ichikawa, Dai Kishida, Yoshia Miyawaki, Ken-Ei Sada, Yasuhiro Shimojima, Yuichi Ishikawa, Yuji Yoshioka, Yosuke Kunishita, Daiga Kishimoto, Kaoru Takase-Minegishi, Yohei Kirino, Shigeru Ohno, Noriaki Kurita, Hideaki Nakajima
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引用次数: 0

摘要

目的:很少有研究探讨患者参与共同决策(SDM)是否有利于系统性红斑狼疮(SLE)的治疗。因此,本研究利用 TRUMP2-SLE 研究的数据调查了患者参与 SDM 与他们对医生的信任之间的关系:方法:本研究通过自填问卷的方式,收集了在日本五家医疗机构门诊就诊的系统性红斑狼疮患者的九项共同决策问卷(SDM-Q-9 分数)、信任医生量表(TIPS)分数以及维克森林医生信任缩写量表(A-WFPTS)分数,这些分数分别代表患者对医生的人际信任和对医疗行业的信任。这些得分之间的关系通过具有聚类方差的一般线性模型进行了分析:结果:本研究共纳入 433 名系统性红斑狼疮患者。TIPS和A-WFPTS(主治医生版)基线得分的中位数分别为82(73-93)分和80(70-95)分。基线 SDM-Q-9 分数越高,1 年后 TIPS 分数越高(每增加 10 分的系数为 0.94 分 [95%CI 0.16-1.72])。较高的 SDM-Q-9 基线得分与较高的 A-WFPTS 人际信任得分相关(每增加 10 分的系数为 2.20 分 [1.44-2.96])。基线SDM-Q-9得分也与1年后全科医师版A-WFPTS得分的增加相关(每增加10分的系数为1.29分[0.41-2.18]):结论:系统性红斑狼疮患者参与 SDM 可提高他们对主治医生和医疗服务提供者的信任度,从而有可能增进医患关系和整体医疗信任度。
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Effect of Shared Decision-Making on Trust in Physicians in the Management of Systemic Lupus Erythematosus: The Trust Measurement for Physicians and Patients With Systemic Lupus Erythematosus Prospective Cohort Study.

Objective: Few studies have explored whether the involvement of patients in shared decision-making (SDM) is beneficial to the management of systemic lupus erythematosus (SLE). Therefore, this study investigated the relationship between patient participation in SDM and their trust in physicians using data from the Trust Measurement in Physicians and Patients With SLE (TRUMP2-SLE) study.

Methods: Data regarding the nine-item Japanese version of the Shared Decision-Making Questionnaire (SDM-Q-9) scores, Trust in Physician Scale (TIPS) scores, and Abbreviated Wake Forest Physician Trust Scale (A-WFPTS) scores for interpersonal trust in a physician and trust in the medical profession were collected from patients with SLE who visited the outpatient clinics of five facilities in Japan through a self-administered questionnaire. The relationships among these scores were analyzed by general linear models with cluster-robust variance.

Results: This study included 433 patients with SLE. The median baseline TIPS and A-WFPTS (attending physician version) scores were 82 (73-93) and 80 (70-95), respectively. A higher baseline SDM-Q-9 score was correlated with an increase in the TIPS score at one year (coefficient per 10-point [pt] increase, 0.94 pts, 95% confidence interval [CI] 0.16-1.72). A higher baseline SDM-Q-9 score was correlated with a higher A-WFPTS score for interpersonal trust (coefficient per 10-pt increase, 2.20 pts, 95% CI 1.44-2.96). The baseline SDM-Q-9 score was also correlated with an increase in the general physician version of the A-WFPTS score at one year (coefficient per 10-pt increase, 1.29 pts, 95% CI 0.41-2.18).

Conclusion: Engagement of patients with SLE in SDM elevates their trust in the attending physicians and health care providers, potentially enhancing doctor-patient relationships and overall health care trust.

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来源期刊
CiteScore
9.40
自引率
6.40%
发文量
368
审稿时长
3-6 weeks
期刊介绍: Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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