Patient Autonomy Review and Clinical Practice Strategy in Medical Decision-making of Chronic Diseases: Take Patients with Nephrotic Syndrome as an Example
10.12026/j.issn.1001-8565.2022.10.04
- VernacularTitle:医疗决策中自主性审视及临床实践策略——以肾病综合征患者为例
- Author:
Lili TANG
1
;
Wangbin XIE
2
;
Jianling CUI
1
Author Information
1. Department of Nephrology, Taizhou Central Hospital/Taizhou University Hospital, Taizhou 318000, China
2. Taizhou Hospital, Taizhou 317000, China
- Publication Type:Journal Article
- Keywords:
Nephrotic Syndrome;
Medical Decision-making;
Autonomy;
Clinical Practice
- From:
Chinese Medical Ethics
2022;35(10):1073-1076
- CountryChina
- Language:Chinese
-
Abstract:
Taking nephrotic syndrome as an example, this paper analyzed the autonomy of patients with chronic diseases in medical decision-making, and recognized that patients have autonomy in five dimensions: information, expression, function, decision-making and implementation. Respecting patient autonomy can enable patients to make decisions in their best interests, which is the basis for relevant medical decision-making. However, respecting patient autonomy in medical decision-making of chronic diseases also faces some problems such as limited autonomy of some patients with chronic diseases, poor communication of medical information or lack of resources weakens the autonomy of medical decision-making of patients with chronic diseases, and the difference in health literacy and health management ability affects the play of patient autonomy. Taking the patients with nephrotic syndrome as an example, this paper proposed to recognize the limitations of the autonomy of patients with chronic diseases and flexibly use different ways to respect the autonomy of patients; improve the communication ability and joint decision-making experience of clinical medical staff to fully respect patients’ autonomy; enhance patients’ health literacy and health management ability to realize clinical practice strategy of respect for patients’ autonomy.
