决策教练指导的信息化决策辅助工具在乳腺癌患者中的应用  

Effect of information decision aid tool guided by decision coach in breast cancer patients

作　　者：刘焱 侯秀珍 荆春艳 张洁 Liu Yan;Hou Xiuzhen;Jing Chunyan;Zhang Jie(General Oncology Surgery Department,Xinxiang Central Hospital,the Forth Clinical College of Xinxiang Medical College,Xinxiang 453000,China;Nursing Department,Xinxiang Central Hospital,the Forth Clinical College of Xinxiang Medical College,Xinxiang 453000,China;Head and Neck Mammary Department,Xinxiang Central Hospital,the Forth Clinical College of Xinxiang Medical College,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院、新乡医学院第四临床学院普瘤科,新乡453000 [2]新乡市中心医院、新乡医学院第四临床学院护理部,新乡453000 [3]新乡市中心医院、新乡医学院第四临床学院头颈乳腺科,新乡453000

出　　处：《中华现代护理杂志》2023年第8期1071-1075,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(2018020927)。

摘　　要：目的探讨决策教练指导的信息化决策辅助工具在乳腺癌患者中的应用效果。方法采用便利抽样法选取2021年1—12月在新乡市中心医院肿瘤外科住院的134例乳腺癌患者,采用随机数字表法将其分为对照组和观察组各67例。对照组给予常规决策辅助干预,观察组予以决策教练指导的信息化决策辅助工具决策干预,为期1周。比较两组的决策困难程度、决策准备充分度、决策后悔程度和决策参与满意度。结果干预后两组的决策困难程度得分降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组决策准备充分度和决策参与满意度得分高于对照组,决策后悔程度得分低于对照组,差异均有统计学意义(P<0.05)。结论决策教练指导的信息化决策辅助工具可以降低患者的决策困难度,促进决策准备,减少决策后悔,提高决策参与的满意度。Objective To explore the effect of information decision aid tool guided by decision coach in breast cancer patients.Methods From January to December 2021,a total of 134 breast cancer patients in General Oncology Surgery Department of Xinxiang Central Hospital were enrolled using the convenient sampling method,and divided into the control group and the observation group with 67 cases each.The control group received regular decision aid intervention,and the observation group conducted information decision aid tool guided by decision coach,lasting for 1 week.The decision difficulty,decision preparation,decision regret and decision participation satisfaction were compared between the two groups.Results After intervention,the decision difficulty scores of the two groups decreased,and the score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The scores of decision preparation and decision participation satisfaction of the observation group were higher than those of the control group,while decision regret score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The information decision aid tool guided by decision coach can reduce decision difficulty and decision regret,promote decision preparation,and improve decision participation satisfaction.

关 键 词：乳腺肿瘤 决策教练 决策辅助 决策工具 信息化 

分 类 号：R473.73[医药卫生—护理学]