基于COM-B模型的癌症患者参与治疗决策的决定因素:一个横截面研究
Lin Xiao1, Ting Li1, Jingjing Lin1
1School of nursing, Southern Medical University, Guangzhou, China.
Patient education and counseling
|May 27, 2023
概括
癌症患者参与治疗决策受到健康素养和专业支持的影响. 能力,机会,动机和行为 (COM-B) 模型有效地解释了这些患者参与机制.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 了解影响癌症患者参与治疗决策的因素对于个性化护理至关重要.
- 能力,机会,动机和行为 (COM-B) 模型为探索这些复杂机制提供了一个框架.
研究的目的:
- 研究癌症患者参与治疗决策的潜在机制.
- 测试COM-B模型在解释患者参与癌症护理方面的适用性.
主要方法:
- 在三个三级医院对300名癌症患者进行了横截面调查.
- 使用结构方程建模 (SEM) 来分析数据并测试假设模型.
主要成果:
- 该COM-B模型解释了45%的患者参与率差异.
- 医疗素养和医疗专业人员的感知便利性显著影响了患者参与.
- 患者对决策的看法直接影响了参与,并调解了自我有效性的影响.
结论:
- 该COM-B模型为了解癌症患者参与治疗决策提供了一个强大的框架.
- 旨在提高健康素养和专业支持的干预措施可以提高患者参与度.
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