共享决策干预对脑梗死患者决策意愿及病情管理的影响

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Abstract Objective: To analyze the influence of shared decision-making model on the decision-making willingness and disease management of patients with cerebral infarction in the department of neurology. Methods: From June 2016 to May 2018, 104 patients were admitted to our hospital. Based on the number upon admission, the patients were randomly divided into the study group and the control group, with 52 cases in each group. The control group was implemented traditional nursing intervention, while a shared decision-making model was introduced in the study group. Then two groups of patients were compared in terms of decision-making willingness, information needs and nursing satisfaction. Results: The decision-making willingness of patients in the study group was stronger, and their demand for this information and satisfaction with the nursing service model were higher than the control group. The decision-making efficiency of both patients and nurses was significantly better than that of the control group (P<0.05). Conclusion: The shared decision-making model applied to patients with cerebral infarction can improve the decision-making willingness of these patients to take healthcare measures, help them to acquire better knowledge about the disease, facilitate disease management and improve nursing satisfaction.

Key words： shared decision-making care model neurology decision-making willingness disease manage-ment nursing

Received: 06 November 2018

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	WU Yan
	LI Liang
	LANG Chengyun

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2019/V49/I4/301

[1] 戚金. 护患共同参与型护理模式对肺癌化疗患者心理状态的影响分析[J]. 中西医结合心血管病电子杂志, 2018, 6(21): 130.
[2] 石岩岩, 张华, 陶立元, 等. 护患共同决策的发展及其重要性[J]. 中华儿科杂志, 2017, 55(8): 563.
[3] 周敏, 吴建军, 徐春岳. 高职护生元认知能力与护理临床决策自信水平的相关性研究[J]. 护理与康复, 2018, 5(8): 27-30.
[4] INGERSGAARD M V, TULSTRUP M, SCHMIEGELOW K, et al. A qualitative study of decision-making on phase III randomized clinical trial participation in pediatric oncology: adolescents’ and parents’ perspectives and preferences[J]. J Adv Nurs, 2018, 74(1): 110-118.
[5] WANG L H, GOOPY S, LIN C C, et al. The emergency patient’s participation in medical decision making[J]. J Cli Nurs, 2016, 25(17-18): 2550-2558.
[6] 夏维海, 印男, 李迷娣, 等. 老年人与青年人风险决策比较[J]. 中国老年学杂志, 2017, 37(22): 5680-5683.
[7] 庄丽萍, 许玉, 柯水燕, 等. 喉癌患者焦虑、抑郁情绪及其参与临床决策的状况分析[J]. 现代临床护理, 2017, 16(2): 22-26.
[8] 李玉, 叶志霞, 刘佩玉, 等. 原发性肝癌诊断知情患者参与手术决策现状及影响因素研究[J]. 护理学报, 2016, 23(18): 6-10.
[9] 郑红颖, 胡嘉乐, 董柏君, 等. 护患共享决策评估工具的研究进展[J]. 中华护理杂志, 2018, 53(5): 622-625.
[10] 王筱璐, 张立春, 徐碧波, 等. 跨期决策的年老化及其认知神经机制[J]. 中国老年学杂志, 2018, 38(8): 2020-2022.
[11] VALCARENGHI D, BAGNASCO A, ALEO G, et al. Exploring the interaction between nursing decision making and patient outcomes in 2 European Cancer Centers: A qualitative study[J]. Cancer Nurs, 2018, 41(5): E40-E49.
[12] SERRANO N, CHANG M, LELAND ROGERS C, et al. Patient autonomy and shared decision making in the management of urethral cancer[J]. Pract Radiat Oncol, 2016, 6(1): 66-70.
[13] 项进, 张特, 尹荣. 浅谈肿瘤患者护患共同决策的临床实践[J]. 医学与哲学, 2018, 39(3): 20-21.
[14] 徐小琳, 毛捷, 王继龙, 等. 患者参与医疗决策期望量表的编制策略及条目筛选[J]. 中国当代医药, 2012, 19(18): 162-164.
[15] 俞丽生, 林坚, 盛汉松, 等. 儿童外伤性大面积脑梗死开颅减压手术的临床分析[J]. 温州医科大学学报, 2016, 46(3): 208-210.
[16] 田晋帆, 吕树铮, 戴敬, 等. 冠状动脉无复流的发生、评估及处理决策[J]. 中国循证心血管医学杂志, 2016, 8(7): 889-892.
[17] 祝丹峰, 胡伟玲. 护理本科生临床决策能力培养的探讨[J]. 检验医学与临床, 2015(3): 420-421.
[18] 高亚男, 张志茹. 决策辅助在乳腺癌患者中的应用现状[J]. 护理学报, 2017, 24(1): 38-41.
[19] ARORA N K, AYANIAN J Z, GUADAGNOLI E. Examining the relationship of patients’ attitudes and beliefs with their self-reported level of participation in medical decision-making[J]. Med Care, 2005, 43(9): 865-872.
[20] 朱兆锋, 汪永, 浦卉, 等. 原发性开角型青光眼患者的风险决策能力研究[J]. 安徽医科大学学报, 2016, 51(11): 1665-1668.
[21] 谢玉莲, 姚日群, 郭波, 等. 乳房重建术后患者决策后悔与其自我效能、围手术期信息支持满意度的相关性分析[J]. 中国实用护理杂志, 2016, 32(31): 2437-2440.
[22] FLORIN J, EHRENBERG A, EHNFORS M. Patient participation in clinical decision making in nursing: a comparative study of nurses’ and patients’ perceptions[J]. J Clin Nurs, 2006, 15(12): 1498-1508.
[23] 傅建琴, 何丽娟. 乳腺癌患者期望参与医疗决策需求的调查分析[J]. 中华现代护理杂志, 2016, 22(13): 1881-1884.