中年肺癌化疗患者参与跨专业共享决策方案的制订及实施  

Development and practice of an interprofessional shared decision-making program for middle-aged lung cancer patients undergoing chemotherapy

作　　者：曲瑞杰 程秋泓[1] 王海播[2] 李豪 张乐乐 王月霞[2] Qu Ruijie;Cheng Qiuhong;Wang Haibo;Li Hao;Zhang Lele;Wang Yuexia(Nursing Department,Henan Provincial People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院护理部,河南郑州450003 [2]河南省人民医院呼吸与危重症医学科,河南郑州450003

出　　处：《护理学杂志》2022年第23期25-28,共4页Journal of Nursing Science

基　　金：中国医药教育协会课题(2019LCYJ-001);河南省医学科技攻关项目(LHGJ20200007)。

摘　　要：目的 提高中年肺癌化疗患者诊疗共享决策的参与度及效果。方法 将76例中年肺癌化疗患者按住院时间分为对照组和试验组各38例,对照组实施常规诊疗告知与相关护理,试验组在常规护理基础上实施跨专业共享决策干预。结果 干预后,试验组患者健康素养得分及参与医疗决策满意度得分显著高于对照组,决策困境得分显著低于对照组(均P<0.05)。结论 中年肺癌化疗患者参与跨专业共享决策方案的实施有利于提高患者健康素养,降低患者决策困境,提升参与决策满意度。Objective To increase participation and effect of shared decision making in diagnosis and treatment for middle-aged lung cancer patients undergoing chemotherapy.Methods A total of 76 middle-aged lung cancer patients undergoing chemotherapy were divided into a control group and an experimental group chronologically, with 38 cases in each group.The control group was routinely informed diagnosis and treatment and cared, while the experimental group additionally received interprofessional share decision-making programme.Results After the intervention, the scores of the All Aspects of Health Literacy Scale and the Patients′ Satisfaction with Participation in Medical Decision Making in the experimental group were significantly higher than those of the control group, while its score of the Decisional Conflict Scale was significantly lower than that of the control group(all P<0.05).Conclusion Practice of the programme on participating in interprofessional share decision-making in middle-aged lung cancer patients undergoing chemotherapy is conducive to improving patients′ health literacy, reducing their decisional conflict, and increasing their satisfaction with participation in medical decision making.

关 键 词：肺癌 化疗 共享决策 诊疗告知 知情同意 健康素养 决策困境 

分 类 号：R473.73[医药卫生—护理学] R734.2[医药卫生—临床医学]