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揭示患者决策延迟背后的关键因素在大动脉剖析患者:一个横截面研究
Jiaqi Zhang1, Yuelin Song1, Shimei Jin1
1School of Nursing, Tianjin Medical University, Tianjin, People's Republic of China.
Patient preference and adherence
|December 22, 2025
概括
患者决策延迟在大动脉剖析中很常见,影响了近68%的患者. 干预措施应解决可修改的因素,如疾病感知和感知障碍,以改善结果.
科学领域:
- 心血管医学 心血管医学
- 健康心理学 心理健康心理学
背景情况:
- 大动脉解剖是一种危及生命的疾病.
- 及时治疗对于患者的生存和结果至关重要.
- 患者的决策延迟可以显著阻碍及时的医疗护理.
研究的目的:
- 为了确定主动脉解剖中患者决策延迟的患病率.
- 为了确定与患者决策延迟相关的因素.
- 应用自我调节模型来理解大动脉剖析中的决策延迟.
主要方法:
- 这是一项对386名大动脉剖析患者的横截面研究.
- 采用关于疾病感知,医疗保健障碍和社会支持的验证问卷收集的数据.
- 后勤回归分析以确定相关因素.
主要成果:
- 患者决策延迟的流行率为67.88%.
- 与延迟相关的因素包括较低的教育程度,旁观者的存在,斯坦福分类,疼痛严重程度和特定症状 (背痛,腹痛,出汗).
- 负面的疾病感知和更高的感知障碍与决策延迟有关.
结论:
- 患者决策延迟在主动脉剖析中非常普遍.
- 延迟受到临床因素和可修改的心理社会因素 (疾病感知,感知障碍) 的影响.
- 针对这些认知和心理社会障碍的有针对性的干预措施对于改善患者的治疗结果至关重要.
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