癌症患者对医疗风险的感知及对临床决策的影响

Cancer Patient's Perception of Medical Risk and It's Influence on Clinical Decision-making

由于医学的复杂性和癌症疾病的不确定性,癌症的临床决策存在着一定的风险性。癌症患者对医疗风险的感知也因人而异,继而影响着临床决策。本研究应用癌症患者医疗风险感知问卷对唐山市4家三级综合医院内住院治疗的320名癌症患者进行调查,调查结果显示,癌症患者对于经济风险(67.5%)的感知和社会心理风险(40.3%)的感知均高于对身体功能风险的感知(21.6%),患者的性别、家庭月收入和年龄影响患者对医疗风险的感知,患者对经济风险和社会风险的感知影响患者对临床决策的意愿。临床医护人员应注重评估癌症患者对医疗风险感知的特点,帮助患者制定适宜的临床决策。

Due to the complexity of medicine and cancer uncertainty, there is a certain risk of cancer clinical decision- making. Cancer patient＇s perception of medical risk also differs from people to people, which in turn affects the clinical decision-making. In this study, the Questionnaire of Cancer Patient＇s Perception of Medical Risk was used to investigate 320 cancer patients in four first-class general hospitals in Tangshan. The result revealed that the patient＇s perceptions of economic risk （67. 5%） and psychosocial risk （40.3%） were higher than that Of physical risk （21.6%）. The patient＇s gender, family income and age affected the patient＇s perception of medical risk and the perceptions of economic risk and psychosocial risk of patient affected patient＇s wish of decision making. Clinical heath care workers should fully evaluate cancer patient＇s perception of medical risk and assist cancer patient to make appropriate clinical decisions.