222名颅内肿瘤患者家属决策冲突现状及影响因素分析

doi:10.16460/j.issn1008-9969.2022.20.011

摘要/Abstract

摘要： 目的调查颅内肿瘤患者家属决策冲突现状,分析其影响因素。方法采用便利抽样法,于2021年9月—2022年2月选取乌鲁木齐市3所三级甲等医院符合纳入标准的222名颅内肿瘤患者家属作为研究对象。采用一般资料调查表、决策冲突量表、领悟社会支持量表和自我效能量表进行调查。采用多重线性回归分析颅内肿瘤患者家属决策冲突的影响因素。结果本组颅内肿瘤患者家属决策冲突总分为（34.74±14.38）分,多重线性回归分析结果显示,患者肿瘤类型及患者家属经济压力、与医护讨论患者病情频率、领悟社会支持和自我效能进入回归方程（P<0.05）,共解释总变异的33.5%。结论本组颅内肿瘤患者家属决策冲突处于中等偏下水平,患者肿瘤类型及患者家属经济压力、与医护讨论患者病情频率、领悟社会支持和自我效能是决策冲突的影响因素。医护人员应借助个性化、针对性的医疗决策辅助工具,改善患者家属的决策信心,降低其决策冲突水平。

关键词: 颅内肿瘤, 家属, 决策冲突, 领悟社会支持, 自我效能

Abstract: Objective To investigate the current status of decisional conflict of family members of patients with intracranial tumors and analyze its influencing factors. Methods With convenience sampling method, 222 family members of patients with intracranial tumors were selected from 3 tertiary grade-A hospitals in Urumqi from September 2021 to February 2022. They were investigated by general information questionnaire, the Decisional Conflict Scale, the Perceived Social Support Scale and the General Self-Efficacy Scale. Multiple linear regression was used to analyze the influencing factors of decisional conflict of family members of patients with intracranial cancers. Results The total score of decisional conflict of family members of patients with intracranial tumors was 34.74±14.38. Multiple linear regression analysis showed that patients' tumor type and family members' economic stress, frequency of discussion with medical staff, perceived social support and self-efficacy entered the regression equation (P<0.05), which explained 33.5% of the total variation. Conclusion The decisional conflict of family members of patients with intracranial tumors is at the lower-middle level. Patients' tumor type and family members' economic stress, frequency of discussion with medical staff, perceived social support and self-efficacy are the main influencing factors of decisional conflict. Personalized and targeted medical decision aids are conducive to improving family members' confidence in decision making and reducing their level of decisional conflict.

Key words: intracranial tumor, family member, decisional conflict, perceived social support, self-efficacy

中图分类号:

R473.73

王丽萍, 王慧, 侯铭, 郭俊梅, 祖百法, 李萍. 222名颅内肿瘤患者家属决策冲突现状及影响因素分析[J]. 护理学报, 2022, 29(20): 11-16.

WANG Li-ping, WANG Hui, HOU Ming, GUO Jun-mei, ZU Bai-fa, LI Ping. Current Status of Decisional Conflict of Family Members of Patients with Intracranial Tumors and Its Influencing Factors: A 222-case Study[J]. Journal of Nursing, 2022, 29(20): 11-16.

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