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肺癌患者手术治疗决策参与和领悟社会支持的相关性分析

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目的 了解肺癌患者手术治疗决策参与的现状,探索其与领悟社会支持的相关性.方法 采用一般资料问卷、决策期待量表、领悟社会支持量表,对2022年2-5月于中国医学科学院北京协和医学院肿瘤医院手术治疗的肺癌患者进行调查.结果 共发放调查问卷360份,回收有效问卷344份,有效率95.6%.在治疗决策过程中患者期望参与方式为被动型145例(42.2%),而实际参与方式更倾向于主动型154例(44.8%),患者期望和实际参与方式符合率为61.9%(Kappa=0.437,P<0.001).影响因素分析结果显示,文化教育程度是肺癌患者实际参与手术治疗决策的影响因素(P=0.029).Spearman相关分析结果显示,肺癌患者实际参与手术治疗决策与领悟社会支持(r=0.159,P<0.01),及其各维度包括家庭支持(r=0.152,P<0.01)、朋友支持(r=0.133,P<0.05)、其他社会支持(r=0.142,P<0.01)均呈正相关.结论 患者期待决策参与方式与实际决策参与方式一致性一般,实际决策参与方式受文化教育程度影响,且与领悟社会支持呈正相关.医护人员应重视患者采取手术治疗决策的参与方式,根据不同教育程度制定决策辅助工具,并从提高社会支持角度出发,制定个体化干预措施,从而提高患者治疗依从性和治疗护理满意度.
Correlation between surgery control preference and perceived social support of lung cancer patients
Objective To investigate the current status of control preference in the surgery of lung cancer patients and explore its correlation with perceived social support.Methods General information questionnaire,control preference scale,and perceived social support scale were used to investigate the lung cancer patients who underwent surgery in Beijing Cancer Hospital from February to May 2022.Results A total of 360 survey questionnaires were distributed,and 344 valid questionnaires were collected,with an effective rate of 95.6%.The expected participation style of patients was passive in 145 patients(42.2%),while the actual participation style was more inclined to be active in 154(44.8%)patients.The compliance rate of patients'expected and actual participation styles in the treatment control preference process was 61.9%(Kappa=0.437,P<0.001).The results of the analysis of influencing factors showed that the level of cultural education was an influencing factor in the actual participation of lung cancer patients in surgery control preference(P=0.029).The results of Spearman's correlation analysis showed that the actual participation of lung cancer patients in surgery control preference was positively associated with perceived social support(r=0.159,P<0.01),and its dimensions including family support(r=0.152,P<0.01),friend support(r=0.133,P<0.05),and other social support(r=0.142,P<0.01).Conclusion Patients'expected control preference style is generally consistent with their actual control preference style,which is influenced by their cultural education and positively correlated with perceived social support.Medical and nursing staff should pay attention to the participation style of patients taking surgery decisions,develop decision aids according to different education levels,and develop individualized interventions from the perspective of improving social support initially,to improve patients'treatment compliance and treatment care satisfaction.

Lung cancersurgerycontrol preferenceperceived social support

马凤艳、任娜、田梦白、刘燕

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国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院胸外科(北京 100021)

肺癌 手术 决策参与 领悟社会支持

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(9)
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