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颅内动脉瘤患者治疗决策困境的影响因素分析

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目的 研究颅内动脉瘤患者治疗决策困境的影响因素。方法 选取2022年1-12月在该院住院的210例颅内动脉瘤患者作为研究对象,采用一般资料调查表、决策困境量表(DCS)、领悟社会支持量表(PSSS)和医院焦虑抑郁量表(HADS)对患者进行问卷调查。结果 颅内动脉瘤患者决策困境得分为(38。08±14。05)分,领悟社会支持得分为(50。59±3。38)分,焦虑得分为(11。12±3。46)分,抑郁得分为(9。56±2。11)分。多元线性回归分析显示,年龄、家庭人均月收入、动脉瘤直径、社会支持和焦虑是颅内动脉瘤患者治疗决策困境的主要影响因素(P<0。05)。结论 颅内动脉瘤患者决策困境处于中等水平,医护人员应根据患者年龄、经济状况、动脉瘤大小、患者社会支持及焦虑情况等因素制订有针对性的决策支持措施。
Analysis on influencing factors of treatment decision dilemmas in patients with intracranial aneurysm
Objective To investigate the influencing factors of treatment decision dilemma in the pa-tients with intracranial aneurysm.Methods A total of 210 patients with intracranial aneurysms hospitalized in the neurosurgery department of this hospital from January to December 2022 were selected as the research subjects.The questionnaire survey on the patients was conducted by using the general data questionnaire,De-cision Dilemma Scale (DDS),Perceptive Social Support Scale (PSSS) and Hospital Anxiety and Depression Scale (HADS).Results The scores of decisional dilemma,perceived social support,anxiety and depression of the patients with intracranial aneurysm were (38.08±14.05) points,(50.59±3.38) points,(11.12±3.46) points and (9.56±2.11) points respectively.The multiple linear regression analysis showed that the age,fam-ily per capita monthly income,aneurysm diameter,social support and anxiety were the main influencing fac-tors of treatment decision dilemma in the patients with intracranial aneurysm (P<0.05).Conclusion The de-cision-making dilemma in the patients with intracranial aneurysms is in a moderate level.Medical care staff should for-mulate the targeted decision support measures according to the patient' s age,economic status,aneurysm size,patient's social support and anxiety situation to help the patients to improve their decision-making level.

intracranial aneurysmdecisional dilemmaanxiety and depressionsocial supportinfluencing factor

叶夏兰、赖海燕、黄少泳、韦炫锾、蒙丹丹、杨丽

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广西医科大学第一附属医院 护理部,南宁 530021

广西医科大学第一附属医院 神经外科,南宁 530021

颅内动脉瘤 决策困境 焦虑抑郁 社会支持 影响因素

中华护理学会2019年度科研课题广西医疗卫生适宜技术开发与推广应用项目2020年广西医科大学第一附属医院自设科研培育项目

ZHKY201919S2020029YYZS2020030

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(11)