癌症患者家属治疗决策内在机制的质性研究  

Treatment decision making for cancer patients: a qualitative study among family members

作　　者：刘慧宇 赵秋利[1,2] 范硕宁 刘琴琴 杜丽娜[2] 庄佳铭 Liu Huiyu;Zhao Qiuli;Fan Shuoning;Liu Qinqin;Du Lina;Zhuang Jiaming(School of Nursing,Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学护理学院,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086

出　　处：《护理学杂志》2020年第3期23-26,共4页Journal of Nursing Science

摘　　要：目的了解癌症患者家属治疗决策形成过程及影响因素,为帮助其确定治疗决策提供参考。方法对14名癌症患者家属进行深度访谈,采用扎根理论方法分析资料,形成类属和核心类属。结果析出癌症患者家属治疗决策内在机制1个核心类属,以及内生信任、信息收集、决策合理化、决策生成、决策促进因素、决策阻碍因素6个类属。结论患者家属治疗决策通过多步骤形成,受多方面因素影响,医护人员应了解癌症患者家属治疗决策内在机制,协助其作出符合患者实际需求的决策。Objective To understand the process of making treatment decisions for cancer patients by their family members,to analyze the influencing factors,and to provide reference for assisting them to make treatment decision.Methods Fourteen family members of cancer patients received in-depth interviews,then data were transcribed and analyzed by employing grounded theory to form categories and core categories.Results One core category of inner mechanism of decision-making for cancer treatment by family members was identified,including 6 categories as endogenous trust,information collection,rationalization of decision,decision generation,facilitators and barriers.Conclusion Decision making for cancer treatment by family members is a multiple-step process and influenced by various factors.Medical staff should understand the inner mechanism of treatment decision making of family members of cancer patients,thus to assist them to make decisions that meet the actual needs of patients.

关 键 词：癌症 患者家属 治疗决策 内在机制 影响因素 质性研究 

分 类 号：R473.73[医药卫生—护理学]