高齡長者心理健康與醫病共享決策的關聯性研究

A Study on the Association Between Mental Health in the Elderly and Shared Decision-Making in Medical Care

隨著人口老齡化的加劇，老年人面臨更為複雜的決策和照護需求，而在這此背景下，高齡友善照護開始拓展，希望透過醫療保健服務介面，增進長者身心健康與復健，因此探索如何有效實施醫病共享決策顯得尤為重要。醫病共享決策（Shared Decision Making, SDM）的核心理念是以人為本，強調在決策過程中充分考慮患者的情感、生活經驗及其個性化需求。通過梳理相關研究，現有研究在實際應用中仍存在諸多局限且臨床醫療人員與老年人之間醫病共享決策的理解尚不深入，導致此理念未能充分轉化為實際照護實踐。未來研究應聚焦於這些問題的解決，以推動醫病共享決策在高齡心理健康照護中的廣泛應用，從而提升老年患者的照護品質。

As the aging population continues to grow, elderly individuals face more complex decision-making and care needs. Therefore, exploring effective implementation of shared decision-making (SDM) has become particularly important. The core concept of SDM is people-centered, emphasizing the integration of patients' emotions, life experiences, and personalized needs into the decision-making process. By reviewing relevant studies, existing research still faces numerous limitations in practical application, and there is insufficient understanding between healthcare professionals and the elderly regarding SDM, preventing this concept from being fully translated into actual care practices. Future research should focus on addressing these issues to promote the widespread application of SDM in elderly mental health care, thereby enhancing the quality of care for older patients.