Anxiety and patient participation in clinical decision-making : The case of patients with ureteral calculi.
Ninety-six patients with a ureteral calculus participated in a study whose purpose was to identify those subjects who would benefit from participation in clinical decision-making.
Forty-two of the subjects (the experimental group) were given information about two alternative treatments, Extra Corporeal Shock Wave Lithotripsy (ESWL) and ureteroscopy, and were asked to choose which therapy they preferred.
Fifty-four subjects (the control group) were not given information, not allowed to choose, and were treated according to the physician's decision.
Subjects'level of anxiety was compared within each group on three occasions : before meeting with the physician, immediately afterwards and upon hospitalization for treatment of the stone.
Patients'perception of receipt of information and participation in clinical decision-making, coping style, educational level, and knowledge about treatment alternatives were also measured.
A statistically significant decrease in anxiety after meeting with the urologist was found among patients who were not asked to participate in the decision-making process and among patients who perceived that they had received information.
A decrease in anxiety after meeting with the physician was also found among patients who, according to their own perception, did not participate in decision-making.
Patients'educational level and coping style were related to their anxiety. (...)
Mots-clés Pascal : Lithiase, Uretère, Prise décision, Malade, Choix, Traitement, Angoisse anxiété, Coping, Niveau étude, Relation médecin malade, Communication information, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Uretère pathologie, Calcul urinaire
Mots-clés Pascal anglais : Lithiasis, Ureter, Decision making, Patient, Choice, Treatment, Anxiety, Coping, Education level, Physician patient relation, Information communication, Human, Urinary system disease, Urinary tract disease, Ureteral disease, Urinary stone
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0393114
Code Inist : 002A26N03B. Création : 12/09/1997.