乳腺癌患者期望参与医疗决策需求的调查分析

Investigation and analysis of requirements to participate in medical decision making in patients with breast cancer

目的：通过对乳腺癌住院患者进行调查，了解不同特征的乳腺癌患者期望参与医疗决策的需求。方法2014年9-12月采用患者对医疗决策参与期望量表对福建医科大学附属协和医院148例乳腺癌患者进行调查，内容包括患者一般资料、患者参与治疗的决策期望情况等。结果年龄越小、收入越高的乳腺癌患者期望参与交流需求越高，差异有统计学意义（χ2＝4．312，9．151；P ＜0．05），文化程度越高的乳腺癌患者期望参与决策的期望越高，差异有统计学意义（χ2＝3．901，P ＜0．05）。结论不同年龄、不同收入的乳腺患者期望参与决策中的交流需求存在差异性，文化程度不同的乳腺癌患者期望参与决策的需求也不同。建议临床医护人员根据患者的不同需求，加强与患者的沟通，满足患者对治疗信息、交流、决策的需求，促进医患对医疗的共同决策。

Objective To understand the demands for participating in clinical decision-making in patients with breast cancer by the investigation.Methods From September 201 4 to December 201 4,we investigated 1 48 cases of breast cancer patients in Fujian Medical University Union Hospital by the research table of Expectation in Clinical Decision-making Participation.Survey contents include general information,the expectation of participating in clinical decision-making,and so on.Results Patients with breast cancer who were younger and with more income had higher demand of communication （χ2 =4.31 2,9.1 51 ;P 〈0.05）. Patients with higher education level had higher expectations of participating in decision-making（χ2 =3.901 ,P 〈0.05 ）.Conclusions Breast cancer patients at different ages and incomes show different requirements to communicate about clinical decision-making,and patients of different education level also have different demands of participation in decision-making.Clinical nurses should enhance communication between patients and nurses according to the different demands of patients,inorder to meet patients′needs about information, communication and decision-making of treatment,and promote the codetermination decision-making between doctor and patient.