问题提示清单在乳腺癌手术患者中的应用研究

Application of question prompt list in patients undergoing breast cancer surgery

目的探究问题提示清单在乳腺癌患者围手术期的应用效果。方法采用临床对照研究,通过便利抽样法,选取2023年8-12月在天津市某三级甲等医院乳腺外科的确诊为乳腺癌需手术85例患者作为研究对象,依据入院时间分为干预组和对照组。对照组接受常规护理,干预组在常规护理基础上给予问题提示清单。应用决策冲突量表、癌症患者未满足需求简明量表以及医疗决策参与满意度量表对2组患者进行效果比较。结果对照组40例、干预组37例完成研究。干预组决策冲突总分为低于对照组,差异有统计学意义(t=2.145,P<0.05);未满足需求简明量表干预组总分为低于对照组总分,差异有统计学意义(t=2.514,P<0.05);医疗决策参与满意度干预组总分高于对照组总分,差异有统计学意义(t=2.765,P<0.05)。结论乳腺癌手术患者使用问题提示清单可增加询问问题积极性,满足患者信息需求,降低决策冲突水平,提高医患沟通质量,提升医疗决策参与能力及医疗决策参与满意度,促进患者做出有效决策。

Objective To study the effect of question prompt list in breast cancer patients during perioperative period.Methods Convenience sampling was adopted to select 85 patients with breast cancer who had undergone surgery in the breast surgery department of a tertiary grade-A hospital in Tianjin from August to December 2023 as the research subjects.They were divided into intervention and control group according to the time of admission.The control group received routine care,while the intervention group was provided with a question prompt checklist in addition to routine care.The Decision Conflict Scale,The Chinese version of Short-Form Survivor Unmet Needs Survey,and Participation in Medical Decision-making Scale were used to compare the intervention effect between the two groups.Results Forty cases in the control group and thirty-seven cases in the intervention group completed the study.The total score of Decision Conflict Scale(t=2.145,P<0.05)and the Chinese version of Short-Form Survivor Unmet Needs Survey(t=2.514,P<0.05)in the intervention group was lower than that in the control group,and the difference was statistically significant.The total score of the Participation in Medical Decision-making Scale in the intervention group was higher than that of the control group,indicating statistically significance(t=2.765,P<0.05).Conclusion The application of the question prompt list can enhance patients’enthusiasm for asking questions,improve the quality of doctor-patient communication,meet patients’information needs,reduce decision-making conflicts,improve medical decision-making participation ability,and ultimately improve patients’satisfaction with medical decision-making participation.