关键词: 高血压, 渥太华决策支持框架, 治疗决策, 现状, 影响因素

Abstract: Objective: To investigate the current status of participation in treatment decision-making among outpatients with hypertension, and to analyze its influencing factors. Methods: Hypertensive outpatients from three tertiary grade A hospitals and one community health service center in Tianjin were selected as the study subjects. Guided by the Ottawa Decision Support Framework, a survey was conducted using the General Information Questionnaire, the Control Preferences Scale, the Decisional Conflict Scale, the Social Support Rating Scale, and the Satisfaction with Treatment Decision-Making Scale. Multinomial logistic regression analysis was used to explore the influencing factors of participation in treatment decision-making among outpatients with hypertension. Results: A total of 350 outpatients with hypertension were included. The actual degree of participation in treatment decision-making was predominantly passive, accounting for 61.1%. Multinomial logistic regression analysis showed that course of disease, occupation, smoking history, decisional conflict, treatment decision-making preference, and the information and communication-negotiation dimensions of satisfaction with treatment decision-making were influencing factors of the actual degree of participation in treatment decision-making among outpatients with hypertension (P<0.05). Conclusion: The actual degree of participation in treatment decision-making among outpatients with hypertension is relatively passive, suggesting that healthcare providers should adopt individualized measures based on the influencing factors of patient participation, and encourage patients to actively shift toward a collaborative type of participation in treatment decision-making.

Key words: Hypertension, Ottawa Decision Support Framework, Treatment decision-making, Status, Influencing factors