消化内镜诊疗患者参与临床决策期望现状及影响因素  

Status Quo Analysis on Expectation of Participation in Clinical Decision-making among Patients Undergoing Digestive Endoscopic Diagnosis and Treatment and Its Influencing Factors

作　　者：刘巧梅 余强[1] 刘德良[1] 王学红[1] 乐梅先[1] LIU Qiaomei;YU Qiang;LIU Deliang;WANG Xuehong;LE Meixian(The Second Xiangya Hospital of Central South University,Changsha,Hunan 410011)

机构地区：[1]中南大学湘雅二医院,湖南长沙410011

出　　处：《上海护理》2021年第6期34-37,共4页Shanghai Nursing

基　　金：中南大学湘雅二医院临床护理科研基金(2018-YHL-20)。

摘　　要：目的了解消化内镜诊疗患者参与临床决策期望现状并分析其影响因素。方法采用方便抽样法,选择2018年12月至2019年4月在中南大学湘雅二医院消化内镜中心接受消化内镜诊疗的患者567例作为研究对象。采用一般资料调查表和患者参与临床决策期望量表对其进行调查,并进行临床决策期望影响因素的单因素和多元线性回归分析。结果消化内镜诊疗患者参与临床决策期望的总得分为(51.34±5.09)分,信息需求、交流需求和决策需求3个维度条目均分分别为(4.54±0.50)、(4.49±0.51)及(3.60±0.73)分。多元线性回归分析显示:性别、年龄、文化程度和就诊类型是患者参与临床决策期望的影响因素,解释总变异为22.5%。结论消化内镜诊疗患者参与临床决策的信息需求和交流需求较高,而决策需求偏低,不同性别、年龄、文化程度和就诊类型患者的参与临床决策期望不同,建议护理人员重视并鼓励患者积极参与到临床决策中,并提供相应的支持干预。Objective To investigate the current expectation of participation in clinical decision-making among patients undergoing digestive endoscopic diagnosis and treatment and analyze the influencing factors.Methods A total of 567 patients who received digestive endoscopic diagnosis and treatment in the Digestive Endoscopy Center of the Second Xiangya Hospital of Central South University from December 2018 to April 2019 were selected as the subjects by convenience sampling.They were investigated using the General Information Questionnaire and the Patients'Expectation of Participation in Clinical Decision-making Scale,and univariate and multiple linear regression analyses of factors influencing patient expectations were performed.Results For the patients undergoing digestive endoscopic diagnosis and treatment,the total score of their expectation of participation in clinical decision-making was(51.34±5.09)points,and the average scores of information needs,communication needs and decision-making needs were(4.54±0.50),(4.49±0.51)and(3.60±0.73)points,respectively.Multiple linear regression analysis showed that gender,age,education level and type of visit were the factors that influence patients'expectation of participation in clinical decision-making,explaining 22.5%of the total variation.Conclusion Patients who received digestive endoscopic diagnosis and treatment and expected to participate in clinical decision-making have higher information and communication needs,yet lower decision-making needs.Patients different in gender,age,education level and type of visit have different expectations of participation in clinical decision-making.Nurses are expected to pay atten-tion to and encourage patients to actively participate in clinical decision-making and provide corresponding supportive interventions.

关 键 词：消化内镜 临床决策 患者参与 现状分析 

分 类 号：R473.57[医药卫生—护理学]