护理学报2016，Vol.23Issue(18)：6-10,5.DOI:10.16460/j.issn1008-9969.2016.18.006
原发性肝癌诊断知情患者参与手术决策现状及影响因素研究
Current Status of Participation in Surgery Decision-making of Informed Primary Liver Cancer Patients and Its Influence Factors
摘要
Abstract
Objective To investigate the current status of participation in surgery decision-making of informed primary liver cancer patients and to explore its influence factors. Methods With convenient sampling, 145 informed primary liver cancer patients receiving surgical treatment were recruited from a Class Ⅲ Grade Ⅰhepatobiliary specialized hospital and investigated with participation in surgery decision-making questionnaire developed on the basis of the Control Preference Scale (CPS). Spearmen correlation analysis and multivariate logistic regression were used to analyze its influencing factors. Results Totally, 41.4%of the patients considered their surgery decisions were determined by surgeons and 36.5% by family members and the rate of surgery decision-making by surgeons and family members was greater than patients ’ expected rate. For 55.9% of the family members, their participation in surgery decision-making coincided with their expectation while 35.9% of them considered the actual participation rate was greater than their expected rate. Age, education background, average monthly income of family and whether the first surgery or not were influence factors (P<0.05). Younger patients, higher education, more average monthly income of family and not the first surgery patients actually involved in higher decision-making procedure. Conclusion Primary liver cancer patients participate in surgery decision-making passively. Family members play an important role in surgical decision-making, but their actual participation rate is greater than patients’ expected rate. More communication with the patients and family members to meet patients ’ demands of knowledge related to treatment is needed and the model of shared decision-making by surgeons, patients and their family members should be propelled.关键词
原发性肝癌/诊断知情/手术/患者参与/家属/共享决策Key words
primary liver cancer/informed diagnosis/surgery/patient participation/family members/shared decision making分类
医药卫生引用本文复制引用
李玉,叶志霞,刘佩玉,李丽..原发性肝癌诊断知情患者参与手术决策现状及影响因素研究[J].护理学报,2016,23(18):6-10,5.基金项目
2016年上海市科技支撑计划医学重点项目（16411951700）；第二军医大学优秀硕士苗子基金 （）
