医护患共同决策模式在甲状腺癌手术患者中的应用
The Application of the Joint Decision-making Model between Doctors,Nurses,and Patients in Thyroid Cancer Surgery Patients
秦清丽 1李利梅 1邱新光1
作者信息
- 1. 郑州大学第一附属医院 河南郑州 450000
- 折叠
摘要
目的:探讨医护患共同决策模式在甲状腺癌手术患者中的应用效果.方法:选取 2022 年 1 月 1 日～2023 年 4 月 1 日行甲状腺癌手术的 158 例患者随机分为对照组和研究组各 79 例,对照组给予常规护理干预,研究组给予医护患共同决策模式.比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、一般自我效能感量表(GSES)评分、简易应对方式问卷(SCSQ)评分、健康信念评分、中文版癌症治疗功能评价系统量表(FACT-G)评分、护理满意度.结果:干预后,两组SAS、SDS评分均低于干预前(P<0.05),且研究组低于对照组(P<0.01);干预后,两组GSES评分高于干预前(P<0.05),且研究组高于对照组(P<0.01);干预后,两组SCSQ中积极应对评分高于干预前(P<0.05),消极应对评分低于干预前(P<0.05),且研究组优于对照组(P<0.01);干预后,两组健康信念、FACT-G评分均高于干预前(P<0.05),且研究组高于对照组(P<0.01);研究组护理满意度高于对照组(P<0.05).结论:将医护患共同决策模式应用于甲状腺癌手术患者,可有效缓解其负性情绪,提高自我效能感,使患者积极应对疾病,提高健康信念、生活质量和护理满意度.
Abstract
Objective:To explore the application effect of the joint decision-making model between doctors,nurses and patients in pa-tients undergoing thyroid cancer surgery.Methods:A total of 158 patients who underwent thyroid cancer surgery from January 1,2022 to A-pril 1,2023 were randomly divided into control group and study group with 79 cases in each group.The control group received routine nurs-ing intervention,while the study group received a joint decision-making model between doctors,nurses and patients.The scores of self-rat-ing anxiety scale(SAS),self-rating depression scale(SDS),general self-efficacy scale(GSES),simplified coping style questionnaire(SCSQ),health belief scale,Chinese version of functional assessment of chronic illness therapy-general(FACT-G),and nursing satisfac-tion were compared before and after intervention between two groups.Results:After intervention,the SAS and SDS scores of both groups were lower than those before intervention(P<0.05),and the study group has lower scores than the control group(P<0.01).After interven-tion,the GSES scores of both groups were higher than those before intervention(P<0.05),and the scores of study group was higher than those of the control group(P<0.01).After intervention,the positive coping scores of SCSQ in both groups were higher than those before in-tervention(P<0.05),negative coping scores were lower than those before intervention(P<0.05),and the study group was better than the control group(P<0.01).After intervention,both groups had higher health beliefs and FACT-G scores than those before intervention(P<0.05),and the scores of the study group was higher than those of the control group(P<0.01).The nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion:Applying the joint decision-making model between doctors,nurses and pa-tients to patients undergoing thyroid cancer surgery can effectively alleviate their negative emotions,improve their self-efficacy,encourage patients to actively respond to the disease,and improve their health beliefs,quality of life,and nursing satisfaction.
关键词
甲状腺癌/医护患共同决策模式/负性情绪/自我效能Key words
Thyroid cancer/Joint decision-making model between doctors,nurses and patients/Negative emotions/Self-efficacy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据