Expectativas de los pacientes sobre la toma de decisiones ante diferentes problemas de salud

Delgado, Ana; López-Fernández, Luis Andrés; Luna, Juan de Dios; Cuesta, Lorena Saletti; Garrido, Natalia Gil; González, Almudena Puga

doi:10.1016/j.gaceta.2009.09.010

Cited by 13 publications

(4 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…La mayoría de los participantes adoptaban un rol pasivocolaborativo o completamente pasivo en relación con la toma de decisión sobre su tratamiento, tal y como señalan los resultados encontrados en trabajos similares (Arora & McHorney, 2000;Delgado et al, 2010). Aunque en pacientes con depresión y ansiedad, algunos autores han informado de tasas de hasta el 98% de participación con un papel semi-activo o semi-pasivo (Patel & Bakken, 2010).…”

Section: Discussionunclassified

Preferencias por las decisiones compartidas en pacientes con depresión

et al. 2016

View full text Add to dashboard Cite

ResumenEn el presente estudio se analizaron los procesos psicológicos asociados con las preferencias de los pacientes con depresión en la toma de decisión sobre su tratamiento psiquiátrico. Participaron 462 pacientes diagnosticados con un trastorno depresivo agudo o recurrente. La mayor parte prefirió asumir un rol colaborativo-pasivo o totalmente pasivo. Los resultados no mostraron diferencias significativas entre pacientes en función de su cronicidad en la preferencia por la toma de decisiones, aunque un mayor tiempo de tratamiento se asoció con un estilo más pasivo. El MANCOVA aplicado al total de participantes, controlando la edad, el nivel educativo y el tiempo de tratamiento, indicó que los pacientes colaborativos y pasivos mostraron mayor locus de control centrado en la confianza en el psiquiatra que los activos. Se encontraron diferencias de género mostrando en los hombres mayor locus de control interno y reactancia psicológica, y en las mujeres, mayor locus centrado en el azar. Los análisis de regresión indicaron que en el caso de los hombres, la preferencia pasiva por la toma de decisión es explicada por el locus centrado en el psiquiatra. Sin embargo, en las mujeres tuvo mayor peso la edad, seguida del locus centrado en el azar, el locus centrado en el psiquiatra y una percepción de menor autoeficacia. Los hallazgos señalan la necesidad de estudiar desde una perspectiva diferencial la participación de los pacientes en la toma de decisión de acuerdo con los procesos psicológicos, así como la repercusión que esta tiene en la adherencia al tratamiento médico. Palabras clave: toma de decisión compartida, locus de control, reactancia psicológica, autoeficacia, depresión. AbstractThis study analyzed the role of psychological processes predicting depressed patients' preferences in clinical decision-making about psychiatric treatment. 462 patients diagnosed with depressive disorders, acute or recurrent, participated in a crosssectional survey. Most participants preferred collaborative-passive or totally passive roles. Results showed no significant differences between acute and recurrent patients in their preference of participation in decision-making, but longer treatment duration was associated with a more passive style. MANCOVA, controlling age, educational level and treatment duration variables, showed that collaborative and passive patients had a greater locus of control focused on their psychiatrist than active patients. Gender differences were found. Men showed greater internal locus of control and psychological reactance, while women showed greater external locus of control focused on chance. Regression analysis indicated that, for men, passive preferred role was explained by external locus centered on their psychiatrist. However, age registered the highest weight for women' passive decision-making, followed by the locus focused on chance, locus focused on the psychiatrist and lower self-efficacy. Our findings suggest the need to study shared decision-making from a differential perspective that involves...

show abstract

Section: Discussionunclassified

Preferencias por las decisiones compartidas en pacientes con depresión

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Their responses to the interviews confirm that patients with life-threatening illnesses are as concerned as other patients to have information that might help them participate in decision making, even when they do not directly ask to participate. 29,30 The participants understood that healthcare professionals needed their consent to proceed with a treatment or an intervention, and they expected to be given information that would help them understand why this had been deemed appropriate for their particular needs. In other words, they understood that completing a process of informed consent did not simply involve accepting or rejecting a professional proposal but was also an opportunity to understand that proposal.…”

Section: Discussionmentioning

confidence: 99%

Informed consent: A study of patients with life-threatening illnesses

Busquets

Caïs

2015

Nurs Ethics

View full text Add to dashboard Cite

Abstract:Background: The relationship between healthcare professionals and patients in the Spanish health sector has undergone dramatic change. One aspect of this is that the use of informed consent has become a key factor in the delivery of adequate healthcare. But although a certain period of time has already passed since informed consent started to be used, in Spain there is still doubt about how adequately informed consent is being used.

show abstract

“…In 2010, 360 Spanish patients underwent a questionnaire by Delgado et al The data revealed that while the majority of the interviewees wished to be heard and informed by the doctor, the patients' autonomous participation was seen as an undesired increase in their accountability. More serious diseases are also associated with an even lower wish to participate 16 .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

The principle of autonomy in Brazil: one needs to discuss it ...

Ugarte¹,

Acioly

2014

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

The principle of patient autonomy is a cornerstone of bioethics. According to this concept, patients should be given the power to make decisions related to their treatment. It is an important component of modern medical ethics, which has received much interest in current literature. However, the rate of participation of patients and their willingness to participate are variable according to the cultural, social and family environments in which they are inserted. The aim of this paper is to promote a brief descriptive review on autonomy, the preferences of patients and the use of informed consent as an instrument for the exercise of autonomy in literature, and to stress the lack of debate, as well as the pressing need for discussion of these current issues nationwide.

show abstract

Expectativas de los pacientes sobre la toma de decisiones ante diferentes problemas de salud

Abstract: Most patients wished to be listened to, informed and taken into account by their general practitioners and, to a lesser extent, wished to take decisions autonomously, especially for biomedical problems.

Cited by 13 publications

References 37 publications

Preferencias por las decisiones compartidas en pacientes con depresión

Preferencias por las decisiones compartidas en pacientes con depresión

Informed consent: A study of patients with life-threatening illnesses

The principle of autonomy in Brazil: one needs to discuss it ...

Contact Info

Product

Resources

About