Clinical Application and Efficiency Analysis of Shared Decision Making (SDM) in the Treatment of Stable Angina

Abstract

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.