肿瘤医患沟通信息需求及临床决策现况调查

A Cross-sectional Study on Medical Information Needs and Treatment Decision Making of Malignant Cancer Patients in Medical Consultations

通过对武汉三家医院的527例患者进行问卷调查以了解恶性肿瘤治疗中医患沟通以及临床决策的现况。利用SPSS 19.0对数据进行统计分析发现:医患交流与患者期望了解的信息存在差异,患者更期望了解疾病预后、治疗副作用及费用。临床决策中最常见为医患双方决策,其次为医生决策,患方决策最少。高学历及积极参与医患沟通患者对医患沟通满意度更高并有较高的临床决策参与。建议医生应尽量满足患者对预后、副作用及费用了解的需求,鼓励消极、低学历及晚期肿瘤患者更多参与临床决策。

To confirm doctor-patient communication and treatment decision-making in clinical settings among cancer patients by investigating 527 patients hospitalized in Wuhan city.Data collected was analyzed by using SPSS19.0.There was some difference between reality and expectation on information transferring.People were more willing to get detailed information on prognosis,side effects and cost of treatment.The most common decision was made by both doctor and patients followed by doctor-dominant and patient-dominant.Those patients who were good-educated and active had more chance to involve in treatment decision and were more satisfied with consultations.Doctors were advised to share more medical information with patients.Moreover,doctors should encourage patients who were negative,poor education background and late-stage to involve in shared-decision making.