决策板在子宫肌瘤住院患者中应用的临床意义  

The clinical significance of decision board administered in the patients with uterine leiomy-oma.

作　　者：万小平[1] 王小杰[1] 邱晓燕[1] 谢培珍[1] 陈咏平[1] 

机构地区：[1]上海市第一人民医院妇产科,上海200080

出　　处：《现代妇产科进展》2002年第3期165-167,共3页Progress in Obstetrics and Gynecology

摘　　要：目的:探讨决策板在子宫肌瘤住院患者中应用的临床意义。方法:作者设计了一种工具,称为“决策板”,通过它向子宫肌瘤住院患者传递相关的医学信息,然后由医生和患者共同商议后再选择术式。采用前瞻性研究方法随机将140例绝经前的子宫肌瘤住院患者分为两组,研究组进行决策板管理,对照组进行常规术前谈话,比较出院时两组患者的满意度及所采取的4种术式的比率。结果:研究组90％的患者认为决策板易理解,96％的患者认为此项措施有助于手术方案的选择,患者满意度调查结果为:非常不满意、不满意、一般、满意、非常满意分别占1.43％（1/70）、2.86％（2/70）、28.57％（20/70）、47.14％（33/70）、20.00％（14/70）;对照组患者满意度调查结果为:非常不满意、不满意、一般、满意、非常满意分别占1.43％（1/70）、8.57％（6/70）、47.14％（33/70）、35.71％（25/70）、7.14％（5/70）。两组差异有显著性（P<0.05）。研究组中选择全子宫切除术、次全子宫切除术、子宫肌瘤挖除术、腹腔镜筋膜内子宫切除术的比率分别为:64.3％、8.6％、21.4％、5.7％;对照组中选择全子宫切除术、次全子宫切除术、子宫肌瘤挖除术、腹腔镜筋膜内子宫切除术分别为:81.4％、4.3％、10.0％、4.3％。两组差异无显著性（P>0.05）。结论:将决?ve:To study the clinical significance of decision board administered in the patients with uterine leiomyoma. Methods: The instrument called decision board was developed to inform patients with uterine leiomyoma some relative information about surgical treatment options. Surgeon and his/her patient make a decision about which regiment to be performed after they dis-cussed. A prospective study were carried out in 140 patients which were divided randomly into two groups.The decision board was administered to the study group,and the control group was adminis-tered by routine preoperative consultation. The degree of satisfaction and the rates of four types of op-erations performed in two groups were evaluated. Results: In the study group,90% of the patients reported that the decision board was easy to understand, and 96% indicated that it helped them make a decision. Only 1 of 70 patients felt strongly dissatisfaction, two patients indicated dissatisfac-tion, 28.57% (20/70) felt usual,47.14% (33/70) reported satisfaction,20.00% (14/70) thought strongly satisfaction . In the control group the relative rates were 1 .43%(1/70) ,8.57% (6/70) , 47.17% (33/70), 35.71% (25/70), and 7.14% (5/70) respectively (P < 0.05) .The rate of per-forming total hysterectomy, subtotal hysterectomy, myomectomy, total laparoscopic intrafascial hys-terectomy were 64.3% ,8.6% ,21.4% ,5.7% respectively . In the control group the rate were81.4%,4.3%,10.0%,4.3% respectively (P>0.05). Conclusions: Although the changes of rates of different operations performed are not significant, the administration of decision board in pa-tients with uterine leiomyoma will help to improve the communication between doctors and patients and to have a optimal decision. It can enchance patients' satisfaction and attain a personalized regiment.

关 键 词：子宫肌瘤 决策板 临床意义 

分 类 号：R737.33[医药卫生—肿瘤]