晚期肺癌患者代理决策者无法忍受不确定性现状及其对决策冲突的影响
Surrogate Decision Makers for Advanced Lung Cancer Patients Intolerance of Uncertainty and Its Influence on Decision Conflict
赵晓华 1胡玉守 1常志红 1秦瑞玲 1张苇1
作者信息
- 1. 郑州大学第二附属医院呼吸与危重症二病区,河南郑州 450014
- 折叠
摘要
目的 探讨晚期肺癌患者代理决策者无法忍受不确定性现状及其对决策冲突的影响.方法 采用一般资料调查表、简版无法忍受不确定性量表、决策冲突量表对233例晚期肺癌患者代理决策者进行调查.结果 简版无法忍受不确定性量表总分为(32.20±5.74)分,决策冲突量表总分为(26.96±8.86)分,Pearson相关分析显示,无法忍受不确定性总分与决策冲突总分呈正相关(r=0.468,P＜0.01),分层回归分析结果显示,无法忍受不确定性是晚期肺癌患者代理决策者决策冲突的重要预测因子,可独立解释决策冲突17.2％的变异.结论 无法忍受不确定性是晚期肺癌患者代理决策者决策冲突的重要影响因素,无法忍受不确定性程度越高的患者其决策冲突水平越高.
Abstract
Objective To explore the intolerability of uncertainty by surrogate decision makers in advanced lung cancer patients and its influence on decision conflict.Methods A total of 233 surrogate decision makers of advanced lung cancer patients were investigated by general data questionnaire,simple intolerable uncertainty scale and decision conflict scale.Results The total score of the simple intolerability uncertainty scale was(32.20±5.74)points and the total score of the decision conflict scale was(26.96±8.86)points.Pearson correlation analysis showed that the total score of intolerability uncertainty was positively correlated with the total score of decision conflict(r=0.468,P＜0.01).Intolerance of uncertainty was an important predictor of decision conflict among surrogate decision-makers in advanced lung cancer patients,independently explaining 17.2％of the variance in decision conflict.Conclusion Intolerability of uncertainty is an important factor affecting the decision conflict of surrogate decision-makers in advanced lung cancer patients,and the higher the degree of intolerability of uncertainty,the higher the level of decision conflict.
关键词
肺癌/晚期/代理决策者/无法忍受不确定性/决策冲突/影响因素Key words
lung cancer/late stage/surrogate decision makers/intolerance of uncertainty/decision conflict/influencing factor引用本文复制引用
出版年
2024
NETL
NSTL
万方数据