医疗保健范式已发展为以患者为中心的方法，其中共享决策 (SDM) 发挥着关键作用。本研究旨在探讨乳腺癌重建咨询期间SDM的实施，并评估其对患者满意度和整个决策过程的影响。 多学科乳腺病理科共纳入了102名接受乳房重建的女性患者。实施了一个简化的 SDM 模型，涉及选择引入、选项描述和偏好探索。经验证的西班牙语版本的九项共同决策问卷与补充问卷一起使用。使用电子数据采集软件进行数据分析。九项共享决策问卷结果表明，在提出各种选项并解释其优缺点方面存在强烈的一致性。患者对自己参与决策缺乏信心。补充共享决策问卷强调了对访谈时间和语言清晰度的高度满意度，但在咨询空间和治疗选择参与方面还有待改进。将 SDM 纳入乳房重建咨询可增强患者在决策过程中的权能并提高满意度。在这种情况下，决策辅助被证明是有效的，可以促进患者的理解并减少决策冲突。 SDM 策略中存在需要改进的领域，这些领域可以通过规模来检测。尽管信息传输和患者参与方面的挑战仍然存在，但采用 SDM 模型具有值得进一步研究的潜在好处。版权所有 © 2024 作者。由 Wolters Kluwer Health, Inc. 代表美国整形外科医生协会出版。

The paradigm of healthcare has evolved toward patient-centered approaches, where shared decision-making (SDM) plays a pivotal role. This study aimed to explore the implementation of SDM during breast cancer reconstruction consultations and assess its impact on patient satisfaction and the decision-making process as a whole.A total of 102 female patients undergoing breast reconstruction were included in a multidisciplinary breast pathology unit. A streamlined SDM model involving choice introduction, option description, and preference exploration was implemented. A validated Spanish version of the nine-item Shared Decision Making Questionnaire was used alongside a complementary questionnaire. Data analysis was carried out using electronic data capture software.The nine-item Shared Decision Making Questionnaire results indicate strong agreement in presenting various options and explaining their advantages and disadvantages. Patients were less confident about their participation in decision-making. The Complementary Shared Decision Making Questionnaire highlighted high satisfaction with interview times and language clarity but areas for improvement in consultation space and therapeutic choice participation.Integrating SDM into breast reconstruction consultations empowers patients in the decision-making process and enhances satisfaction. Decision aids prove effective in this context, facilitating patients' comprehension and reducing decisional conflict. There are areas for improvement within the SDM strategy, and they are detectable through scales. Although challenges in information transmission and patient involvement persist, adopting an SDM model has potential benefits that warrant further investigation.Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.