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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (20): 19-23.doi: 10.16460/j.issn1008-9969.2023.20.019

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Influencing factors of participation in doctor-patient shared decision-making in patients with chronic disease: a Meta-analysis

QIAN Yi, ZHOU Qing-ping, LIANG Zhen-ning, WANG Chen-xi, LIU Han-yue, YU Yao, YUSUPUJIANG·TUERSUN, WANG Dong   

  1. School of Health Management, Southern Medical University, Guangzhou 510515, China
  • Received:2023-06-21 Online:2023-10-25 Published:2023-11-08

Abstract: Objective To analyze the influencing factors of the participation of patients with chronic disease in doctor-patient shared decision-making by meta-analysis, and provide reference for improving the participation of patients with chronic disease in shared decision-making. Methods A systematic search was conducted on literature in Chinese and English databases including CNKI, VIP, Wangfang, PubMed, and Web of Science on the influencing factors of participation of patients with chronic disease in shared decision-making. The effects were merged using Review Manager 5.4 and Stata13.0. Results A total of 700 pieces of literature were retrieved, and 17 pieces of eligible Chinese and English literature were ultimately included. The rate of participation in shared decision-making of patients with chronic disease was 36.90%(28.80%~45.00%). Age (OR=0.92,95%CI:0.82~0.99), educational background (OR=1.57,95%CI: 1.24~1.99), monthly income per capita (OR=1.60,95%CI: 1.12~2.28), whether the first time to perform surgery (OR=1.85,95%CI: 1.27~2.70), and disease- related knowledge (OR=0.98,95%CI: 0.96~0.99) were important factors that affect the participation of patients with chronic disease in shared decision-making. Conclusion The participation rate of patients with chronic disease in doctor-patient shared decision-making needs to be further improved. The participation is influenced by multiple factors, and corresponding measures should be taken by both doctors and patients to increase the participation rate.

Key words: chronic disease, shared decision making, influencing factor, Meta-analysis

CLC Number: 

  • R47
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