癌症患者身心健康状况与其临床决策倾向性的相关性  

Relationship between physical and mental health status and decision-making preferences among cancer patients

作　　者：黎贵[1] 李峥[2] 薛岚[1] 张淑香[1] 

机构地区：[1]中国医学科学院肿瘤医院内科,北京市100021 [2]北京协和医学院护理学院,北京市100021

出　　处：《护理管理杂志》2010年第6期391-393,共3页Journal of Nursing Administration

摘　　要：目的了解癌症患者身心健康状况与临床决策中对医生、患者及家属意见倾向性的相关性。方法选取2008年9月至12月在北京市某三级甲等肿瘤专科医院内科住院治疗的120例癌症患者进行问卷调查。结果经非参数检验,血常规结果不同,癌症患者的临床决策倾向性不同(P<0.05);经Spearman相关分析,病程、欧洲五维健康量表得分、欧洲五维直观式健康量表得分和卡氏评分与癌症患者的临床决策倾向性有关。心理健康状况与临床决策倾向性不相关(P>0.05)。结论癌症患者身体健康状况与临床决策倾向性相关,但未发现心理健康状况与临床决策倾向性的相关性。Objective To explore the relationship between the physical and mental health status and cancer patient＇s decision - making preferences for doctors, patients and relatives. Methods Totally 120 cases of cancer patients in a cancer hospital in Beijing were surveyed by a questionnaire from September to December 2008. Results Nonparametrie tests showed that results of blood routine impacted cancer patient ＇s medical decision - making preferences （ P 〈 0.05 ）. Spearman correlation analysis showed that duration, the scores of European Quality of Life - 5 Dimensions and Karnofsky Performance Status were related to cancer patientg medical decision - making preferences. Psychological status wasn＇t related to cancer patient＇s medical decision - making preferences （ P 〉 0.05 ）. Conclusion The physiological status of patients has the significant correlation with their medical decision - making preferences, however the correlation between the psychological status and their medical decision - making preferences is still not found.

关 键 词：癌症患者 身心健康状况 临床决策 

分 类 号：R47[医药卫生—护理学]