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护理学报 ›› 2024, Vol. 31 ›› Issue (8): 18-22.doi: 10.16460/j.issn1008-9969.2024.08.018

• 护理管理 • 上一篇    下一篇

问题提示清单在乳腺癌手术患者中的应用研究

华晶, 张青月, 王燕, 程畅, 张秀丽, 张爱爱   

  1. 天津医科大学肿瘤医院,国家恶性肿瘤临床医学研究中心, 天津市恶性肿瘤临床医学研究中心,乳腺癌防治教育部重点实验室,天津市肿瘤防治重点实验室,天津 300060
  • 收稿日期:2024-01-02 出版日期:2024-04-25 发布日期:2024-05-08
  • 通讯作者: 王燕（1981-）,女,湖北武汉人,硕士,副主任护师,护士长。
  • 作者简介:华晶（1996-）,女,天津人,本科学历,护师。
  • 基金资助:
    天津市医学重点学科（专科）建设项目（TJYXZDXK-011A）资助; 天津医科大学肿瘤医院护理专项基金（TJMUCH-H-2022-07）

Application of question prompt list in patients undergoing breast cancer surgery

HUA Jing, ZHANG Qing-yue, WANG Yan, CHENG Chang, ZHANG Xiu-li, ZHANG Ai'ai   

  1. Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, ianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China
  • Received:2024-01-02 Online:2024-04-25 Published:2024-05-08

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摘要： 目的 探究问题提示清单在乳腺癌患者围手术期的应用效果。方法 采用临床对照研究,通过便利抽样法,选取2023年8-12月在天津市某三级甲等医院乳腺外科的确诊为乳腺癌需手术85例患者作为研究对象,依据入院时间分为干预组和对照组。对照组接受常规护理,干预组在常规护理基础上给予问题提示清单。应用决策冲突量表、癌症患者未满足需求简明量表以及医疗决策参与满意度量表对2组患者进行效果比较。结果 对照组40例、干预组37例完成研究。干预组决策冲突总分为低于对照组,差异有统计学意义（t=2.145,P<0.05）;未满足需求简明量表干预组总分为低于对照组总分,差异有统计学意义（t=2.514,P<0.05）;医疗决策参与满意度干预组总分高于对照组总分,差异有统计学意义（t=2.765,P<0.05）。结论 乳腺癌手术患者使用问题提示清单可增加询问问题积极性,满足患者信息需求,降低决策冲突水平,提高医患沟通质量,提升医疗决策参与能力及医疗决策参与满意度,促进患者做出有效决策。

关键词: 问题提示清单, 乳腺癌手术, 决策冲突

Abstract: Objective To study the effect of question prompt list in breast cancer patients during perioperative period. Methods Convenience sampling was adopted to select 85 patients with breast cancer who had undergone surgery in the breast surgery department of a tertiary grade-A hospital in Tianjin from August to December 2023 as the research subjects. They were divided into intervention and control group according to the time of admission. The control group received routine care, while the intervention group was provided with a question prompt checklist in addition to routine care. The Decision Conflict Scale, The Chinese version of Short-Form Survivor Unmet Needs Survey, and Participation in Medical Decision-making Scale were used to compare the intervention effect between the two groups. Results Forty cases in the control group and thirty-seven cases in the intervention group completed the study. The total score of Decision Conflict Scale （t=2.145,P<0.05）and the Chinese version of Short-Form Survivor Unmet Needs Survey (t=2.514, P<0.05) in the intervention group was lower than that in the control group, and the difference was statistically significant. The total score of the Participation in Medical Decision-making Scale in the intervention group was higher than that of the control group, indicating statistically significance（t=2.765,P<0.05）. Conclusion The application of the question prompt list can enhance patients' enthusiasm for asking questions, improve the quality of doctor-patient communication, meet patients' information needs, reduce decision-making conflicts, improve medical decision-making participation ability, and ultimately improve patients' satisfaction with medical decision-making participation.

Key words: question prompt list, breast cancer, decision-making conflict

中图分类号: 

  • R47
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