直肠癌术式患者决策辅助方案的制订及应用研究

doi:10.3761/j.issn.0254-1769.2019.03.003

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (3): 338-343.DOI: 10.3761/j.issn.0254-1769.2019.03.003

直肠癌术式患者决策辅助方案的制订及应用研究

王露,陈英(),崔金锐,方汉萍,刘洪娟,廖宗峰,胡凯利,杨伟梅

430030 武汉市华中科技大学同济医学院附属同济医院护理部王露,陈英,崔金锐,廖宗峰,胡凯利,杨伟梅),外科教研室(方汉萍),骨科(刘洪娟)

收稿日期:2018-09-21 出版日期:2019-03-15 发布日期:2019-03-15
通讯作者:
作者简介:王露:女,硕士,护士,E-mail:2440419141@qq.com
基金资助:
基金项目院湖北省卫生和计划生育委员会面上项目(WJ2017M064)

Development of rectal cancer surgery decision aid and its application in decision making among rectal cancer patients

WANG Lu,CHEN Ying(),CUI Jinrui,FANG Hanping,LIU Hongjuan,LIAO Zongfeng,HU Kaili,YANG Weimei

Nursing Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China

Received:2018-09-21 Online:2019-03-15 Published:2019-03-15

摘要/Abstract

摘要：

目的探讨直肠癌术式患者决策辅助方案在直肠癌患者中的应用效果。方法选取2016年6月—12月入院行直肠癌手术治疗的63例患者为对照组;2017年1月—6月入院行直肠癌手术治疗的63例直肠癌患者为试验组。试验组在常规护理基础之上接受直肠癌术式患者决策辅助方案的干预,对照组接受常规护理。结果试验组直肠癌术式决策知识的正确回答率高于对照组（P<0.05）;试验组的决策冲突水平低于对照组（P<0.05）;超过92%的试验组患者认为该决策辅助能够提高他们的决策准备度。结论直肠癌术式患者决策辅助方案可有效增加直肠癌患者的术式决策知识,降低其决策冲突,提高直肠癌患者的决策准备度。

关键词: 直肠肿瘤, 外科手术, 决策, 病人参与, 决策支持系统, 临床

Abstract:

Objective To explore effects of application of the rectal cancer surgery decision aid in patients with rectal cancer.Methods A total of 63 patients hospitalized for rectal cancer surgery from June to December,2016, were recruited as the control group,and 63 patients admitted from January to June, 2017, were enrolled as the intervention group. The intervention group received the content of the rectal cancer surgery decision aid apart from routine nursing,while the control group only received routine nursing.Results The correct response rate of rectal cancer surgery decision knowledge in the intervention group was higher than that in the control group（P<0.05）. The level of decision conflict in the intervention group was lower than that in the control group（P<0.05）. More than 92% of the patients in the intervention group believed the decision aid could improve their decision preparation.Conclusion The rectal cancer surgery decision aid can effectively improve the surgical knowledge of rectal cancer patients,reduce their decision conflict,and improve their decision preparation.

Key words: Rectal Neoplasms, Surgical Procedures, Operative, Decision Making, Patient Participation, Decision Support Systems, Clinical

王露,陈英,崔金锐,方汉萍,刘洪娟,廖宗峰,胡凯利,杨伟梅. 直肠癌术式患者决策辅助方案的制订及应用研究[J]. 中华护理杂志, 2019, 54(3): 338-343.

WANG Lu,CHEN Ying,CUI Jinrui,FANG Hanping,LIU Hongjuan,LIAO Zongfeng,HU Kaili,YANG Weimei. Development of rectal cancer surgery decision aid and its application in decision making among rectal cancer patients[J]. Chinese Journal of Nursing, 2019, 54(3): 338-343.

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直肠癌术式患者决策辅助方案的制订及应用研究

Development of rectal cancer surgery decision aid and its application in decision making among rectal cancer patients

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