Abstract：
This scoping review summarizes existing approaches, benefits, and barriers to shared decision-making (SDM) in the context of sports cardiology. Among 6,058 records screened, 37 articles were included in this review. Most included articles defined SDM as an open dialogue between the athlete, healthcare team, and other stakeholders. The benefits and risks of management strategies, treatment options, and return-to-play were the focus of this dialogue. Key components of SDM were described through various themes, such as emphasizing patient values, considering nonphysical factors, and informed consent. Benefits of SDM included enhancing patient understanding, implementing a personalized management plan, and considering a holistic approach to care. Barriers to SDM included pressure from institutions, consideration of multiple perspectives in decision-making, and the potential liability of healthcare providers. The use of SDM when discussing management, treatment, and lifestyle modification for athletes diagnosed with a cardiovascular condition is necessary to ensure patient autonomy and engagement.
摘要：
本次范围审查总结了现有的方法，好处,以及运动心脏病学背景下共享决策(SDM)的障碍。在筛选的6058条记录中，这篇综述包括了37篇文章。大多数文章将SDM定义为运动员之间的公开对话，医疗团队,和其他利益相关者。管理策略的收益和风险，治疗方案,回归是这场对话的焦点。通过各种主题描述了SDM的关键组件，比如强调病人的价值观，考虑到非物理因素，知情同意。SDM的好处包括增强患者的理解、实施个性化管理计划，并考虑采取整体的护理方法。SDM的障碍包括来自机构的压力，在决策中考虑多种观点，以及医疗保健提供者的潜在责任。在讨论管理时使用SDM，治疗,和生活方式的改变为运动员诊断为心血管疾病是必要的，以确保患者的自主权和参与。
