基于信息化共享决策工具的决策辅助干预在肺癌患者中的应用  

Effects of decision-making aid intervention based on information shared decision-making tools in patients with lung cancer

作　　者：张仑[1] 王燕[2] 何娟[3] 张月芬[3] Zhang Lun;Wang Yan;He Juan;Zhang Yuefen(Nursing Department,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China;Third Department of Cancer Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China;Second Department of Cancer Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第一附属医院护理部,乌鲁木齐830011 [2]新疆医科大学第一附属医院肿瘤中心三科,乌鲁木齐830011 [3]新疆医科大学第一附属医院肿瘤中心二科,乌鲁木齐830011

出　　处：《中华现代护理杂志》2022年第3期400-403,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于信息化共享决策工具的决策辅助干预在肺癌患者中的应用效果。方法采用便利抽样法,选取2019年4月—2020年12月在新疆医科大学第一附属医院住院的106例肺癌患者为研究对象,按照随机数字表法分为观察组和对照组,各53例。对照组采取常规决策辅助干预,观察组在对照组基础上加上信息化共享决策工具干预,应用决策困境量表(DCS)和决策参与满意度量表评估两组患者的决策困难度和参与满意度,并进行比较。结果观察组和对照组干预后DCS得分均较干预前降低,差异有统计学意义(P<0.05);观察组干预后DCS得分低于对照组,差异有统计学意义(P<0.01);观察组决策参与满意度量表各维度得分及总分均高于对照组,差异有统计学意义(P<0.05)。结论决策辅助干预可以减轻患者决策困难度。与常规决策辅助相比,配合信息化共享决策工具在缓解肺癌患者决策困难度和提高决策参与满意度方面更具优势。Objective To explore the effect of decision-making aid intervention based on information shared decision-making tools in patients with lung cancer.Methods From April 2019 to December 2020,convenience sampling was used to select 106 patients with lung cancer in the First Affiliated Hospital of Xinjiang Medical University as the research object.According to the random number table method,the patients were divided into the observation group and the control group,with 53 cases in each group.The control group conducted routine decision-making aid intervention,and the observation group added information shared decision-making tool intervention on the basis of the control group.The Decisional Conflict Scale(DCS)and the Patients Satisfaction with Participation in Medical Decision-making Scale were used to evaluate and compare the decision-making difficulty and participation satisfaction of the two groups of patients.Results The DCS scores of observation group and control group after intervention were lower than those before intervention,and the difference was statistically significant(P<0.05).The DCS score of the observation group after intervention was lower than that of the control group,and the difference was statistically significant(P<0.01).The scores of all dimensions and total scores of the Patients Satisfaction with Participation in Medical Decision-making Scale of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions Decision-making aid intervention can alleviate the patient's decision-making difficulty.Compared with conventional decision-making aids,cooperating with information shared decision-making tools has advantages in alleviating the difficulty of decision-making for patients with lung cancer and improving the satisfaction of decision-making participation.

关 键 词：肺肿瘤 决策辅助 共享决策工具 信息化 

分 类 号：R473.73[医药卫生—护理学]