隆乳患者医疗决策过程的质性研究

Qualitative Research on Medical Decision-Making Process of Patients for Breast Augmentation

目的探索隆乳患者医疗决策过程,为开展临床辅助决策提供依据。方法采用定性描述性研究方法,目的抽样选取2019年10月至12月就诊的13例计划实施隆乳手术的患者作为研究对象,进行一对一、半结构式深入访谈。采用Collazzi七步法分析资料。结果隆乳患者医疗决策过程可归纳为五个主题,美学需求引发治疗动机、内生信任形成择医决策、主动收集信息辅助决策、信息支持不足阻碍决策形成、期待外界支持助力决策。结论医务人员应鼓励隆乳患者自我报告,了解其治疗动机,提供正确信息助力择医决策,通过决策辅助系统等提供外界支持,促进合作决策。

Objective To explore the medical decision-making process of patients for breast augmentation and to provide a basis for the development of clinical decision-making assistance.Methods Descriptive qualitative research method was adopted.Thirteen patients who were planned to undergo breast augmentation surgery from October to December 2019 were selected as the research objects by purposive sampling.One-on-one,semi-structured in-depth interviews were conducted.The Collazi sevenstep method was used to analyze the data.Results The medical decision-making process of breast augmentation patients formed 5 themes:Aesthetic needs triggered treatment motivation,endogenous trust formed medical choice decisions,active collection of information to assist decision-making,insufficient information support hindered decision-making,and expected external support to assist decision-making.Conclusion Medical staff should encourage patients for breast augmentation to self-report,understand their treatment motives,provide correct information to assist them in decision-making,and provide external support through decision-making assistance systems to promote cooperative decision-making.