Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2024; 3: (4) ; 10.12208/j.jacn.20240132 .
总浏览量: 225
中国医学科学院肿瘤医院 北京
*通讯作者: 郑旭,单位:中国医学科学院肿瘤医院 北京;
目的 探讨肺癌患者参与共享决策的现状及影响因素。方法 选取2019年10月至2024年2月我院324 例肺癌患者进行调查,采用问卷调查法,了解其参与共享决策的现状及影响因素。结果 肺癌患者参与共享决策的现状不容乐观,仅有 40.7%的患者表示参与了共享决策。影响因素分析显示,患者的年龄、性别、文化程度、家庭支持、医生沟通技巧等因素与参与共享决策有关。结论 肺癌患者参与共享决策的现状不容乐观,需要加强医生沟通技巧的培训,提高患者的参与意识和能力,以促进共享决策的实施。
Objective To explore the status quo and influencing factors of lung cancer patients participating in shared decision making. Methods A total of 324 patients with lung cancer in our hospital from October 2019 to February 2024 were investigated. Questionnaire survey was used to understand the status quo and influencing factors of their participation in shared decision making. Results The current situation of lung cancer patients participating in shared decision making was not optimistic, only 40.7% of patients said that they participated in shared decision making. The analysis of influencing factors showed that patients' age, gender, education level, family support and physician communication skills were related to participation in shared decision-making. Conclusion The current situation of lung cancer patients participating in shared decision making is not optimistic, it is necessary to strengthen the training of doctors' communication skills and improve patients' participation awareness and ability to promote the implementation of shared decision making.
[1] Siegel R L, Miller KD, Jemal A et al. Cancer statistics[J]. 2016, CA Cancer JClin,2016,66(1):7-30.
[2] Olaf P.Geerse, Mariken E. Stegmann, Huib A.M. Kerstjens, et al. Effects of Shared Decision Making on Distress and Health Care Utilization Among Patients With Lung Cancer: A Systematic Review[J].Journal of Pain and Symptom Management,2018,56(6):975-978.
[3] Barry M J, Edgman L S.Shared Decision Making-pinnacle of Patient-centered Care [J]. N Eng J Med,2012,366(9): 780-781.
[4] 黄琦.肺癌患者的疾病感知与创伤后成长的初步研究[D].安徽:安徽医科大学,2019.
[5] 李媛秋.我国肺癌疾病负担综合测量及评价[D].中国疾病预防控制中心,2018.
[6] 张金娜. 肺癌患者参与共享决策现状及影响因素分析[D].青岛大学,2021.
[7] 杨龙海,叶波,魏星等.最新国际肺癌 TNM 分期标准(第 8 版)修订稿解读[J].中国医刊, 2016,51(9):22-25.
[8] 倪雪.中国女性肺癌流行趋势及影响因素研究[D].北京:中国疾病防控中心,2019.