膀胱癌患者参与医疗决策期望现状及影响因素

The current status of clinical decision-making expectation among patients with bladder cancer and its influencing factors

目的调查并分析膀胱癌患者参与医疗决策期望现状及相关影响因素。方法采用便利抽样法,选取2021年3月-2022年4月在武汉某三甲医院泌尿外科住院的240例膀胱癌患者为研究对象,采用一般资料调查表、病人参与能力测量量表、患者参与医疗决策期望量表、维克森林医师信任量表对患者进行调查。结果膀胱癌患者参与医疗决策期望总分为(35.36±6.62)分。多元线性回归分析结果显示,患者参与能力、对医师的信任水平、年龄、受教育程度是膀胱癌患者参与医疗决策期望的独立影响因素(R^(2)=0.931,△R^(2)=0.930,F=792.294,P<0.001)。结论膀胱癌患者参与医疗决策期望处于中等偏下水平,临床上医护人员应重点关注参与能力低、对医生信任水平高、高龄、受教育程度低的膀胱癌患者,对其加强知识宣教及病情沟通,提高患者参与医疗决策期望水平,改善患者治疗护理满意度。

Objective To explore the current situation of clinical decision-making expectation among patients with bladder cancer and its influencing factors.Methods Totally 240 bladder cancer patients who were admitted to the urology department of a grade-A tertiary hospital in Wuhan between March 2021 and April 2022 were selected by using the convenience sampling method.They were investigated using a general information questionnaire,the patient participation ability questionnaire(PPAQ),the decision-making expectation scale(DMES),and the Chinese revised version of Wake Forest physician trust scale.Results The total score of DMES was(35.36±6.62)points.The results of multiple linear regression analysis showed that the patient participation abityty,patients′trust in doctors,age and education level were independent influencing factors affecting their clinical decision making types(R^(2)=0.931,△R^(2)=0.930,F=792.294,P<0.001).Conclusion The clinical decision making type of patients with bladder cancer is below the average.In clinical practice,medical staff should pay special attention to bladder cancer patients with lower participation ability,higher trust in doctors,older age and lower education level,and strengthen health education and communication to promote their decision-making expectation level.