消化内镜诊疗患者临床决策期望的影响因素分析  

Factors affecting the clinical decision-making expectations of patients undergoing digestive endoscopy

作　　者：张巾来 钱文丽[1] 雷小菊 Zhang Jinlai;Qian Wenli;Lei Xiaoju(Endoscopy Center of Zhejiang Provincial People's Hospital,Hangzhou 310004,Zhejiang Province,China)

机构地区：[1]浙江省人民医院内镜中心,杭州310004

出　　处：《中国基层医药》2024年第1期67-71,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省自然科学基金(LQ16H280003)。

摘　　要：目的探讨消化内镜诊疗患者临床决策期望的影响因素。方法选取浙江省人民医院2020年1月至2022年1月内镜中心收治的消化内镜诊疗患者120例,调查患者一般资料,采用决策参与期待量表(CPS)评估患者临床决策期望,采用多元线性分析确定临床决策期望的影响因素。结果120例消化内镜诊疗患者CPS总分为(50.72±5.48)分,其中信息需求为(14.12±1.48)分,交流需求为(25.17±3.52)分,决策需求为(11.43±2.04)分。单因素分析显示,消化内镜诊疗患者CPS评分与性别、年龄、婚姻状况、文化程度、子女个数、就诊类型有关(t=2.68、2.61、2.82、3.28、3.61、2.39,均P<0.05)。多元线性回归分析显示,性别、年龄、文化程度、就诊类型是消化内镜诊疗患者临床决策期望的影响因素(β=-0.71、1.07、0.53、-1.15,均P<0.05)。结论消化内镜诊疗患者性别、年龄、文化程度、就诊类型是临床决策期望的影响因素,且患者临床决策时交流需求明显,医护人员可加强与患者的沟通、交流,正确引导患者参与临床决策期望。Objective To investigate the influential factors of patients'expectations for clinical decision-making during digestive endoscopy.Methods A total of 120 patients who underwent digestive endoscopy were admitted to the Endoscopy Center of Zhejiang Provincial People's Hospital from January 2020 to January 2022.Their general information was collected,and their clinical decision-making expectations were evaluated using the Control Preference Scale(CPS).The influential factors of clinical decision-making expectations were determined using multiple linear regression analysis.Results The total CPS score for 120 patients undergoing digestive endoscopy was(50.72±5.48)points,including(14.12±1.48)points for information needs,(25.17±3.52)points for communication needs,and(11.43±2.04)points for decision-making needs.Univariate analysis showed that the CPS score of patients undergoing digestive endoscopy was related to gender,age,marital status,educational level,number of children,and type of visit(t=2.68,2.61,2.82,3.28,3.61,2.39,all P<0.05).Multiple linear regression analysis showed that gender,age,educational level,and type of visit were the influential factors of clinical decision-making expectations for patients undergoing digestive endoscopy(β=-0.71,1.07,0.53,-1.15,all P<0.05).Conclusion Gender,age,educational level,and type of visit are influential factors of patients'expectations for clinical decision-making during digestive endoscopy.Patients have a clear need for communication during clinical decision-making,and medical staff can strengthen communication with patients,correctly guiding them to participate in clinical decision-making expectations.

关 键 词：内窥镜检查 消化系统 试验预期值 临床决策 性别因素 年龄因素 因素分析 统计学 

分 类 号：R57[医药卫生—消化系统]