Background: Cardiac disease is the second leading causes of death in Taiwan in 2018 and coronary artery disease is one of the main reasons.Aims: The purpose of this study was to estimate whether Shared decision making (SDM) could lower the anxiety of the patient in the treatment of cardiac catheterization and improve the intension of medical decision or not.Methods: One-group pretest-posttest design.Using the public medical aids opinion questionnaire that was developed by the Taiwan Ministry of Health and Welfare. STROBE guidelines have been adhered to in the reporting of this study.Results: The anxiety level decrease after the SDM from 3.5 to 2.1 points (p-value<0.05) and the proportions of the intension to choose medication and surgery increase from 34% to 66%. Results show that SDM has positive influence in the relief of anxiety.Conclusion: SDM has positive influence in lowering patient’s anxiety and improve the intension of medical decision, the hesitation of patient and deficiency of time are two of the main barriers during the application process.

Background: Cardiovascular diseases are the second leading cause of death in the top ten leading causes of death in 2018 in Taiwan, and coronary artery disease is one of the main causes.Aim: To compare whether there are differences in patient knowledge, anxiety, and satisfaction between the utilization of patient decision aid for cardiac catheterization and routine health education.Subject and methods: Between July 2020 and September 2020, subjects were recruited in the clinics of the Department of Cardiology in a Veterans hospital in northern Taiwan. An experimental design was used for the study. Subjects were divided into two different education tool groups by randomization table. Subjects filled out the questionnaires before and after the education.Result: The patient knowledge before and after education in the RC group was improved by 2.30 points, and SDM group increased by 1.50 points (p-value<0.05). The score of anxiety decreased by 0.41 points in the RC group after the education, and the score of anxiety decreased by 0.33 points in the SDM group. The levels of satisfaction of the SDM group were all higher than the RC group, but the satisfaction score for the duration of education in both groups was relatively low.Conclusion: Regardless of the standard or SDM education model, the knowledge level of patients can be improved, and there was a statistically significant difference (P<0.05). The anxiety of patients in both groups was reduced. The satisfactions of education in the SDM group were better than those of the RC group. The duration of education was the item with low satisfaction for both groups.Recommendations: Both methods of education can help patients increase their knowledge. The establishment of manpower responsible for education. Allowing patients to receive education before the examination can decrease anxiety and has clinical benefits.

Background: Atrial Fibrillation (AF) prevalence rate is about 2%-3% worldwide. The risk of stroke in patients with AF is 4 -5 times than normal. It’s important to take oral anticoagulant therapies to prevent stroke.Aims: The purpose of this study was to estimate whether share decision making (SDM) could lower the anxiety and improve the intension of medical decision or not.Methods: This was one-group pretest-posttest study design. The study contained 21 patients who had hospitalized following diagnosis and treatment of AF pectoris in Cardiology in the Veterans General Hospital. After using health education, patient filled out the questionnaire. TREND guideline has been adhered to in the reporting of this study.Results: The anxiety level decrease after the SDM from 2.8 to 1.2 points (p-value<0.05) and the rate of the intension to choose medication increase from 57% to 76%. The promote factors are "After patient understand the disease and treatment, they are ready for consultation (83%)". Medical staff believes that the relevant factors of "System-related difficulties" are "Insufficient time to talk with patient (45%)".Conclusion: Both medical staff and patients have positive feedback and statistically significant differences in affecting the patient's medical willingness and reducing patient anxiety in SDM. It is important to help patients to think and evaluate carefully through SDM and determine the most appropriate treatment.

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