晚期癌症患者基于共享决策理论的预立医疗照护计划干预
Advance care planning intervention for advanced cancer patients based on shared de-cision-making theory
周春鹤 1李惠艳 2高巍 3单文杰 1崔成伟1
作者信息
- 1. 哈尔滨医科大学附属肿瘤医院呼吸内科(黑龙江哈尔滨,150040)
- 2. 哈尔滨医科大学附属肿瘤医院护理部(黑龙江哈尔滨,150040)
- 3. 哈尔滨医科大学附属肿瘤医院胸部放疗科(黑龙江哈尔滨,150040)
- 折叠
摘要
目的 探讨基于共享决策理论的预立医疗照护计划干预对晚期癌症患者的实施效果.方法 将107例晚期癌症患者按入院时间分为两组,2023年5-7月收治的54例患者为对照组,2023年8-10月收治的53例患者为干预组.对照组实施常规护理干预,干预组在对照组基础上实施基于共享决策理论的预立医疗照护计划干预.干预4周后,比较两组预立医疗照护计划接受度、决策参与满意度及尊严得分.结果 干预后干预组预立医疗照护计划接受度总分及各维度得分、决策参与满意度总分显著高于对照组,而尊严总分显著低于对照组(均P＜0.05).结论 对晚期癌症患者实施基于共享决策理论的预立医疗照护计划干预,能提高其预立医疗照护计划接受度,改善决策参与满意度,维护临终患者尊严.
Abstract
Objective To explore the implementation effect of advance care planning(ACP)intervention based on shared decision-making theory in advanced cancer patients.Methods One hundred and seven advanced cancer patients were divided into two groups according to the time of admission.Fifty-four patients admitted in May to July 2023 were used as the control group,and 53 pa-tients admitted in August to October 2023 were used as the intervention group.The control group received routine nursing inter-vention,while the intervention group additionally received an ACP intervention program based on shared decision-making theory.After 4 weeks of intervention,the two groups were compared in terms of ACP acceptance,satisfaction with decision-making par-ticipation,and dignity scores.Results The total score of patient's ACP acceptance,scores in various dimensions,and the score of decision participation satisfaction in the intervention group were significantly higher than those in the control group,while the total score of dignity was significantly lower than that in the control group(all P＜0.05).Conclusion Implementation of the ACP inter-vention based on shared decision-making theory for advanced cancer patients can increase their acceptance of ACP,improve their satisfaction with decision-making participation,and maintain the dignity of terminally ill patients.
关键词
晚期癌症/预立医疗照护计划/共享决策/决策参与/满意度/尊严/护理干预Key words
advanced cancer/advance care planning/shared decision-making/decision participation/satisfaction/dignity/nursing intervention引用本文复制引用
基金项目
黑龙江省卫生健康委科研项目(20231414010299)
出版年
2024
NETL
NSTL
万方数据