癌症患者有静脉接入装置状态和影响路径分析决策冲突的因素
Alternative therapies in health and medicine
|June 9, 2023
概括
癌症患者在选择静脉接入装置时经历了决策冲突. 提高患者的自我效能和社会支持可以改善决策和减少冲突.
科学领域:
- 在瘤学瘤学.
- 医疗决策的制定 医疗决策的制定
- 患者支持 患者支持
背景情况:
- 静脉接入装置 (VAD) 对于癌症患者的治疗至关重要.
- 关于VAD的决策可能是复杂的,并导致患者冲突.
研究的目的:
- 调查癌症患者VAD的决策状态和影响因素.
- 探索这个患者群体中决策的行动路径.
主要方法:
- 360名瘤科住院患者的回顾性分析 (2022年7月至10月).
- 评估使用关于一般信息,决策冲突,自我有效性,医生-病人决策和社会支持的问卷.
- 在VAD选择中影响决策冲突的因素分析.
主要成果:
- 分析了345份有效的问卷;决策冲突的高流行率 (245名患者,119人高).
- 决策冲突与自我有效性,医生和患者共同决策和社会支持负相关 (P < .001).
- 医生与患者的联合决策,自我效能和社会支持显著影响了决策冲突 (P < .001).
结论:
- 在癌症患者的VAD选择中,决策冲突很普遍.
- 提高患者的自我效能和社会支持是改善VAD决策的关键.
- 制定决策支持计划可以提高决策质量,减少患者冲突.
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