信息不对称理论结合共同决策在人工髋关节置换术患者护理中的应用

Application of information asymmetry theory combined with shared decision-making in nursing of patients undergoing total hip arthroplasty

目的观察信息不对称理论结合共同决策在人工髋关节置换术患者护理中的应用效果。方法回顾性选取2020年5月至2021年5月中国人民解放军陆军第七十三集团军医院住院的人工髋关节置换术患者82例的临床资料,根据入院时间分为对照组42例(入院时间为2020年5~10月)与观察组40例(入院时间为2020年11月至2021年5月)。对照组实施常规护理,观察组在对照组的基础上实施信息不对称理论结合共同决策护理。比较两组患者信息接收程度、围术期治疗依从性、康复有效率及参与医疗决策满意度。结果观察组干预后信息接收程度评分中病情知情、治疗流程/检查/护理明确、康复训练知识、项目收费评分高于对照组,差异均有统计学意义(均P<0.05);观察组干预后围术期治疗依从性中费用缴纳、术前准备、手术配合、休息活动、功能锻炼评分高于对照组,差异均有统计学意义(均P<0.05);观察组康复有效率高于对照组,差异有统计学意义(P<0.05);观察组参与医疗决策满意度各项目评分及总分高于对照组,差异均有统计学意义(均P<0.05)。结论信息不对称理论结合共同决策可扩大人工髋关节置换术患者接受的医疗信息内容,提高围术期治疗依从性、康复有效率及参与医疗决策满意度。

Objective To observe the application effect of information asymmetry theory combined with shared decision-making in nursing of patients undergoing total hip arthroplasty.Methods This study retrospectively analyzed the clinical data of 82 patients who underwent total hip arthroplasty in the 73rd Army Hospital of the Chinese People's Liberation Army from May 2020 to May 2021.According to the time of admission,there were 42 cases in the control group(the time of admission was from May to October 2020)and 40 cases in the observation group(the time of admission was from November 2020 to May 2021).The control group received routine nursing,while the observation group received nursing based on information asymmetry theory and shared decision-making.The degree of information reception,perioperative treatment compliance,rehabilitation efficiency and satisfaction with participation in medical decision-making were compared between the two groups.Results After intervention,the observation group had higher information reception scores than the control group in terms of awareness of disease status,treatment process/examination/nursing details,knowledge about rehabilitation training and project charges(P<0.05).After intervention,the treatment compliance scores of fee payment,preoperative preparation,surgical cooperation,rest and activity,and functional training of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The effective rate of rehabilitation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The scores and total scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Information asymmetry theory combined with shared decision-making can increase medical information received by patients undergoing total hip arthroplasty,improve the patients'perioperative treatment compliance,rehabilitation efficiency and satisfaction in medical decision making.