结直肠癌术后患者对手术治疗决策满意度的影响因素分析  

Influencing factors of colorectal cancer patients' satisfaction with operation treatment decision making process

作　　者：徐征[1] 庞冬[2] 刘卓[1] 路潜[2] 谷洪涛[1] 

机构地区：[1]北京大学第一医院消化系统外三病房,北京市100034 [2]北京大学护理学院

出　　处：《中华护理杂志》2015年第12期1484-1488,共5页Chinese Journal of Nursing

基　　金：北京大学第一医院院级科研基金

摘　　要：目的探讨结直肠癌术后患者对手术治疗决策满意度的影响因素。方法以决策参与期待量表(Control Preference Scale,CPS)为基础,自行设计问卷,对北京市某三级甲等医院消化系统外科三病房的206例结直肠癌术后患者进行问卷调查。结果对手术治疗决策表示非常满意的患者112例(54.4%)。Logistic回归分析结果显示,医患充分交流、不担心手术失败、与家人交流了解关于治疗方案信息的患者对手术治疗决策的满意度更高(P<0.01)。结论应通过充分和及时的医患沟通,消除患者对手术失败的顾虑以及加强患者与亲属间对沟通等方法,提高结直肠癌患者对手术治疗决策的满意度。Objective To explore the influence factors of colorectal cancer patients＇ satisfaction with operation treatment decision making process. Methods A total of 206 coloreetal cancer patients in general surgery departments were recruited from a general hospital in Beijing and were investigated with Control Preference Scale. Results The postoperative patients＇ satisfaction of operation treatment decision was low,and the percentage of satisfaction accounted for 54.4%（112 cases）. Doctor-patient fully communication,not worried about operation failure,unknown about the treatment plan information from family communication was able to predict the patients＇ postoperative satisfaction of operation treatment decisions. Conclusion The following three aspects can promote postoperative patients＇ satisfac- tion with the treatment decision： adequacy and timeliness of doctor-patient communication,elimination of the patients＇ surgery failure concerns,and enhanced communication between patients and family members.

关 键 词：结直肠肿瘤 决策 病人满意度 影响因素分析 

分 类 号：R473.73[医药卫生—护理学]