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基于渥太华决策支持框架宫颈癌筛查决策体验与需求的质性研究

陈怡藤 王馨笛 张新茹 郭瑜 李曦 李加 阮伟清

保健医学研究与实践2025,Vol.22Issue(1):144-150,7.
保健医学研究与实践2025,Vol.22Issue(1):144-150,7.DOI:10.11986/j.issn.1673-873X.2025.01.22

基于渥太华决策支持框架宫颈癌筛查决策体验与需求的质性研究

Qualitative study on cervical cancer screening decision-making experiences and needs based on the Ottawa decision support framework

陈怡藤 1王馨笛 1张新茹 1郭瑜 2李曦 1李加 2阮伟清2

作者信息

  • 1. 南方医科大学南方医院惠侨医疗中心,广州 510515||南方医科大学护理学院,广州 510515
  • 2. 南方医科大学南方医院惠侨医疗中心,广州 510515
  • 折叠

摘要

Abstract

Objective To understand women's experiences and needs in cervical cancer screening decision-making and provide a basis for improving cervical cancer screening services for women.Methods A descriptive qualitative study based on the Ottawa Decision Support Framework was conducted from January to March 2024.Purposive sampling was used to select 13 women from the Gynecology Outpatient Department and Health Check-up Center of our hospital.In-depth semi-structured interviews were conducted to explore their decision-making experiences and needs,and content analysis was used to organize and analyze the interview data.Results Five themes and 13 sub-themes were summarized:decision-making cognition limita-tions(lack of cervical cancer and screening knowledge,limited access to effective knowledge sources);self-rights awareness(traditional patriarchal decision-making,self-decision-making,shared decision-making);factors influencing screening deci-sions(facilitating factors,hindering factors);multiple decision-making preferences(healthcare institutions,screening costs,screening items);and meeting decision-making support(screening information needs,shared decision-making be-tween doctors and patients,decision-making tools).Conclusion Women have multi-dimensional decision-making experi-ences and needs during cervical cancer screening.It is recommended that medical staff strengthen decision-making support and interventions for cervical cancer screening to meet wome's needs for participation in cervical cancer screening decisions.

关键词

宫颈癌/筛查/共同决策/质性研究

Key words

Cervical cancer/Screening/Shared decision-making/Qualitative study

分类

医药卫生

引用本文复制引用

陈怡藤,王馨笛,张新茹,郭瑜,李曦,李加,阮伟清..基于渥太华决策支持框架宫颈癌筛查决策体验与需求的质性研究[J].保健医学研究与实践,2025,22(1):144-150,7.

基金项目

广东省科技计划项目(2022A1414020007). (2022A1414020007)

保健医学研究与实践

1673-873X

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