| 童静韬,方汉萍,陈敏,杨婷.术前决策辅助方案在乳腺癌病人决策参与中的应用研究[J].上海护理,2019,19(8): |
| 术前决策辅助方案在乳腺癌病人决策参与中的应用研究 |
| The application of preoperative patient decision aids in breast cancer patients |
| DOI： |
| 中文关键词: 术前决策辅助 乳腺癌 决策参与 |
| 英文关键词:preoperative patient decision aids, breast cancer, decision participation |
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| 中文摘要: |
| 摘要：目的 探讨术前决策辅助方案在乳腺癌病人决策参与中的效果。方法 选取2016年11月至2017年4月在我院甲乳外科行乳腺癌手术的病人为常规护理组，2017年5月至2017年10月的病人为决策辅助干预组，进行干预前后乳腺癌病人决策参与的对照研究。结果 决策辅助干预组参与治疗决策后SAS评分差值5.88±4.16，SDS评分差值3.48±0.57，常规护理组参与治疗决策后SAS评分差值1.16±0.38，SDS评分差值0.49±3.23，术前决策辅助在乳腺癌病人焦虑和抑郁的情绪方面有明显改善，差异有统计学意义（p<0.001)。常规护理组决策准备度得分52.31±15.02，决策辅助干预组得分68.23±13.24，决策辅助干预组决策准备得分高于常规护理组。同时，比较两组病人临床决策后满意度得分，常规护理组临床决策满意度得分68.3±4.3，决策辅助干预组得分71.3±3.4，决策辅助干预组临床决策满意度得分明显高于常规护理组，差异有显著意义（p<0.01)。结论 术前决策辅助可以明显改善乳腺癌病人焦虑和抑郁的情绪，提高决策辅助质量，促进病人参与临床决策，提升乳腺癌病人临床决策后满意指数。 |
| 英文摘要: |
| Purpose Study on the effect of preoperative patient decision aids in decision making of Breast Cancer patients. Method The patients who underwent breast cancer surgery in our hospital from November 2016 to April 2017 were regular groups. The patients from May 2017 to October 2017 were decision aids intervention groups. A control study of preoperative decision aids of breast cancer patients before and after intervention was conducted. Result The patient decision aids intervention group participated in the treatment decision after the SAS score difference was 5.88±4.16, the SDS score difference was 3.48±0.57. The regular group participated in the treatment decision after the SAS score difference was 1.16±0.38, the SDS score difference was 0.49±3.23, preoperative decision aids improved significantly in anxiety and depression in breast cancer patients, and the difference was statistically significant(p<0.001). The regular group"s preparation decision-making score was 52.31±15.02, the decision-assisted intervention group score was 68.23±13.24, and the preoperative patient decision aids intervention group had higher preparation decision-making score than the regular group. At the same time, the satisfaction scores after preoperative patient decision aids of the two groups of patients were compared. The satisfaction score of clinical decision-making in regular group was 68.3±4.3, and the score of decision aids intervention group was 71.3±3.4. The score of clinical decision satisfaction of decision aids intervention group was significantly higher than that of regular group. The difference was significant (p<0.01). Conclusion Preoperative decision aids can significantly improve the anxiety and depression of breast cancer patients, improve the quality of preoperative patient decision aids , promote the participation of patients in clinical decision-making, and improve the satisfaction index of breast cancer patients after clinical decision-making. |
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