Assessment of Decisional Conflict about the Treatment of Trigger Finger, Comparing Patients and Physicians
عنوان مقاله: Assessment of Decisional Conflict about the Treatment of Trigger Finger, Comparing Patients and Physicians
شناسه ملی مقاله: JR_TABO-4-4_012
منتشر شده در در سال 1395
شناسه ملی مقاله: JR_TABO-4-4_012
منتشر شده در در سال 1395
مشخصات نویسندگان مقاله:
Michiel G.J.S. Hageman - Yawkey Center, Massachusetts General Hospital, Boston, USA
Anne Caroline Döring - Yawkey Center, Massachusetts General Hospital, Boston, USA
Silke A. Spit - Yawkey Center, Massachusetts General Hospital, Boston, USA
Thierry G. Guitton - Yawkey Center, Massachusetts General Hospital, Boston, USA
David Ring - Chief Orthopaedic Hand Service, Yawkey Center, Suite ۲۱۰۰, Massachusetts General Hospital, ۵۵ Fruit Street, Boston, USA
Science Of Variation group - Yawkey Center, Massachusetts General Hospital, Boston, USA
خلاصه مقاله:
Michiel G.J.S. Hageman - Yawkey Center, Massachusetts General Hospital, Boston, USA
Anne Caroline Döring - Yawkey Center, Massachusetts General Hospital, Boston, USA
Silke A. Spit - Yawkey Center, Massachusetts General Hospital, Boston, USA
Thierry G. Guitton - Yawkey Center, Massachusetts General Hospital, Boston, USA
David Ring - Chief Orthopaedic Hand Service, Yawkey Center, Suite ۲۱۰۰, Massachusetts General Hospital, ۵۵ Fruit Street, Boston, USA
Science Of Variation group - Yawkey Center, Massachusetts General Hospital, Boston, USA
Background: As an early step in the development of a decision aid for idiopathic trigger finger (TF) we were interested in the level of decisional conflict experienced by patients and hand surgeons. This study tested the null hypothesis that there is no difference in decisional conflict between patients with one or more idiopathic trigger fingers and hand surgeons. Secondary analyses address the differences between patients and surgeons regarding the influence of the DCS-subcategories on the level of decisional conflict, as well as the influence of patient and physician demographics, the level of self-efficacy, and satisfaction with care on decisional conflict. Methods: One hundred and five hand surgeon-members of the Science of Variation Group (SOVG) and ۸۴ patients with idiopathic TF completed the survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-۹). Results: On average, patients had decisional conflict comparable to physicians, but by specific category patients felt less informed and supported than physicians. The only factors associated with greater decisional conflict was the relationship between the patient and doctor. Conclusions: There is a low, but measurable level of decisional conflict among patients and surgeons regarding idiopathic trigger finger. Studies testing the ability of decision aids to reduce decisional conflict and improve patient empowerment and satisfaction with care are merited.
کلمات کلیدی: Assessment of Needs, Decisional Conflict Scale, Shared decision making, Trigger Finger
صفحه اختصاصی مقاله و دریافت فایل کامل: https://civilica.com/doc/1262477/