A qualitative study of the expectations and value of patients with malocclusion for participation in shared decision making in orthognathic surgery options.
10.3760/cma.j.cn211501-20220421-01253
- VernacularTitle:错颌畸形患者参与正颌手术方案共享决策期望与价值的质性研究
- Author:
Xiangying HU
1
;
Bixia WANG
;
Yan XIAO
;
Weijun YUAN
;
Min ZHU
;
Xudong WANG
Author Information
1. 上海交通大学医学院附属第九人民医院护理部，上海 200011
- Keywords:
Qualitative research;
Expectations;
Value;
Orthognathic surgery;
Shared decision making
- From:
Chinese Journal of Practical Nursing
2022;38(32):2543-2547
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the expectations and values of patients with malocclusion on participation in shared decision-making of orthognathic surgical protocols, and to provide references for further development of clinical shared decision-making models.Methods:Based on the expected value theory and descriptive qualitative research methods, using purposive sampling, 13 patients with malocclusion in the Ninth People's Hospital of Shanghai Jiao tong University School of Medicine from May to August in 2021 were selected for semi-structured interviews. The interview data were sorted, classified and refined by traditional content analysis.Results:Two themes were extracted: patients' ability beliefs about their ability to participate in shared decision making for orthognathic surgery(decision support ability, psychological coping ability and environmental adaptability), and task values for shared decision making for orthognathic surgery(interest value, acquisition value).Conclusions:Low level of patients′ ability beliefs in shared decision-making, active physician guidance facilitates patient participation, but the depth of patient participation is influenced by factors such as information support, cultural climate, and physical space for shared decision making. It is suggested that the magnetic role of physicians should be actively played, the shared decision-making team should be strengthened, at the same time, hospital manager should enhance shared decision making propaganda to increase the acceptance and participation of patients in shared decision making so as to improve the quality of shared decision-making.
