结直肠癌住院患者参与手术治疗决策的现况研究  

Colorectal cancer patients' participant roles during operation treatment decision making process:a crosssectional study

作　　者：侯晓婷[1] 徐征[2] 周玉洁[3] 路潜[1] 庞冬[1] 

机构地区：[1]北京大学护理学院,北京市100191 [2]北京大学第一医院普通外科 [3]北京大学第三医院普通外科

出　　处：《中华护理杂志》2014年第5期526-529,共4页Chinese Journal of Nursing

摘　　要：目的描述结直肠癌住院患者在手术治疗决策过程中期望参与的情况、实际参与的情况以及两者的符合程度。方法以决策参与期待量表(Control Preference Scale,CPS)为基础设计问卷,对北京市2所三级甲等医院普通外科的113例结直肠癌术后患者进行调查。结果在决策过程中,患者期望家属参与程度与家属实际参与程度的符合率是60.2%(68/113),患者期望参与方式与患者实际参与方式的符合率是62.8%(71/113)。相比未造口患者和女性患者,有造口和男性患者的参与方式更加被动(χ2=7.978,P<0.05;χ2=9.854,P<0.05)。结论超过40%的结直肠癌患者依赖于医生做出治疗决定,患者期望家属参与程度与家属实际参与程度之间,以及患者期望参与方式与实际决策参与方式之间均存在不一致。建议医务人员加强与患者沟通,满足他们对治疗相关信息的需求,推动实现医患共同决策。Objective To investigate colorectal cancer patients＇ preferred participant roles,actual participant roles and their degree of congruence during operation treatment decision making process. Methods Totally 113 eolorectal cancer patients in general surgery departments were recruited from two tertiary general hospitals in Beijing and were investigated with Control Preference ScaIe（CPS）. Results During operation treatment decision making process, the congruence rate of patients＇ preferred families＇ participation and families＇ actual participation was 60.2%（68/113）; the congruence rate of patients＇ preferred participation style and patients＇ actual participation style was 62.8%（71/113）. Colostomy patients and male patients were more likely to prefer an passive role（X2=7.978,P〈0.05;X2=9.854,P〈0.05）. Conclusions Over 40% colorectal cancer patients prefer to rely on surgeons during operation treatment decision making process. Health care providers are suggested to strengthen communication with the patients and meet their demands of knowledge related to treatment.

关 键 词：结直肠肿瘤 结直肠外科手术 决策 病人参与 

分 类 号：R473.73[医药卫生—护理学]