乳腺癌患者决策疲劳现状及影响因素研究  

Current status and influencing factors of decision fatigue in patients with breast cancer

作　　者：廖雅柔 刘佳 宋宁 李韶芳 吴星 LIAO Yarou;LIU Jia;SONG Ning;LI Shaofang;WU Xing(School of Nursing,Xinjiang Medical University,Urumqi 830011,China;Dept.of Thyroid and Breast Surgery,the Third People’s Hospital of Huizhou,Huizhou 516002,China;The Seventh Affiliated Hospital of Xinjiang Medical University,Urumqi 830028,China;Xinjiang Regional Research Center for Population Disease and Health Care,Urumqi 830011,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830011 [2]惠州市第三人民医院甲乳外科,广东惠州516002 [3]新疆医科大学第七附属医院,新疆乌鲁木齐830028 [4]新疆区域人群疾病与健康照护研究中心,新疆乌鲁木齐830011

出　　处：《护理学报》2025年第6期6-11,共6页Journal of Nursing(China)

摘　　要：目的了解乳腺癌患者决策疲劳现状及影响因素,为制定针对性的决策辅助措施提供参考。方法采用便利抽样法,于2023年11月—2024年5月选取惠州市3所综合医院中的400例乳腺癌患者作为研究对象,采用一般资料调查表、决策疲劳量表、决策冲突量表、决策准备量表、社会支持评定量表、全面健康素养量表对400例乳腺癌患者进行调查,运用单因素分析及多元线性回归分析乳腺癌患者决策疲劳的影响因素。结果乳腺癌患者决策疲劳总分为(17.93±4.40)分,多元线性回归分析结果显示,文化程度、睡眠时间、不清楚自己具体的肿瘤分期、经历治疗方式种类、决策冲突、决策准备、社会支持是决策疲劳的影响因素(P<0.05)。结论乳腺癌患者决策疲劳处于中等水平,医护人员应重视文化程度低、睡眠时间短、对不清楚自己具体肿瘤分期、经历治疗方式种类多、决策冲突水平高、决策准备水平低、社会支持水平低的患者,以便及时发现并采取有效措施以降低患者决策疲劳水平,提高其参与治疗决策过程中决策积极性。Objective To explore the current status of decision fatigue among patients with breast cancer and its influencing factors,and to provide reference for formulating targeted decision support measures.Methods A total of 400 patients with breast cancer from 3 general hospitals in Huizhou City,Guangdong Province from November 2023 to May 2024 were selected by convenience sampling.The General Information Questionnaire,Decision Fatigue Scale,Decision Conflict Scale,Preparation for Decision Making Scale,Social Support Rating Scale,and All Aspects of Health Literacy Scale were used to conduct the investigation.Results The score of Decision Fatigue Scale for patients with breast cancer was 17.93±4.40.Multiple linear regression analysis showed that educational background,lack of specific tumor stage,sleep duration,treatment methods experienced,decision conflict,decision preparation and social support were the influencing factors of decision fatigue(P<0.05).Conclusion Decision fatigue of patients with breast cancer is at a moderate level.Healthcare providers should take the influencing factors into consideration and take effective measures to timely detect and reduce decision fatigue of patients,thus to improve their decision enthusiasm.

关 键 词：乳腺癌 决策疲劳 决策冲突 决策准备 社会支持 护理 

分 类 号：R473.73[医药卫生—护理学]