文章摘要
髋关节置换术患者术前决策冲突现状及影响因素分析
Analysis of status quo and influencing factors of preoperative decision conflict in patients with hip arthroplasty
投稿时间:2023-02-27  
DOI:10.3969/j.issn.1000-0399.2023.09.021
中文关键词: 髋关节置换术  患者  决策冲突  现状  影响因素
英文关键词: Hip arthroplasty  Patients  Decisioncon flict  Status quo  Influencing factors
基金项目:2022年四川省老年干部保健课题(编号:川干研2022-207)
作者单位E-mail
吕静 637000 四川南充 川北医学院护理学院
610072 四川成都 四川省人民医院护理部 
 
文皓 637000 四川南充 川北医学院护理学院
610072 四川成都 四川省人民医院护理部 
 
汪世秀 637000 四川南充 川北医学院护理学院
610072 四川成都 四川省人民医院护理部 
 
肖亭英 610100 四川成都 成都市龙泉驿区第一人民医院内分泌科  
于海燕 610072 四川成都 四川省人民医院血液透析中心  
肖静蓉 610072 四川成都 四川省人民医院护理部 1004691963@qq.com 
摘要点击次数: 922
全文下载次数: 566
中文摘要:
      目的 分析髋关节置换术患者术前决策冲突现状和影响因素。方法 采用便利抽样法,选择2022年4~12月四川省人民医院行髋关节置换术术前的264例患者作为研究对象,采用一般资料调查表、中文版决策冲突量表、社会支持量表、中文版决策期望量表、抑郁-焦虑-压力量表及患者对医疗决策参与的满意度调查问卷调查患者决策冲突水平和影响因素。结果 髋关节置换术患者术前决策冲突总分为28.13(18.75,43.75)分。相关性分析结果显示:决策冲突与社会支持、主观支持、客观支持、抑郁-焦虑-压力、抑郁、焦虑、决策满意度、信息、决策、交流协商、总满意度及信心相关。多元线性回归分析结果显示:家庭年收入、髋部骨折、被动决策、抑郁、交流协商、总满意度及信心是髋关节置换术患者术前决策冲突的影响因素。结论 髋关节置换术患者术前决策冲突处于中等偏下水平,应针对其影响因素,采取本土化的决策应对方式进行术前干预,以降低患者的决策冲突水平。
英文摘要:
      Objective TTo analyze the status quo and influencing factors of preoperative decision conflict in patients with hip arthroplasty. Methods The convenient sampling method was used to select 264 patients with hip arthroplasty in Sichuan Provincial People's Hospital from April to December 2022 as the research objects. The general information questionnaire, the Chinese version of the decision conflict scale, the social support scale, the Chinese version of the decision expectation scale, the depression anxiety stress scale, and the patients' satisfaction with medical decision participation were used to investigate the level of decision conflict and influencing factors. Results The total score of preoperative decision conflict in patients with arthroplasty was 28.13(18.75, 43.75). The correlation analysis results showed that decision conflict was related to social support, subjective support, objective support, depression anxiety stress, depression, anxiety, decision satisfaction, information, decision, communication and negotiation, overall satisfaction, and confidence. The results of multiple linear regression analysis showed that annual family income, hip fracture, passive decision, depression, communication and negotiation, total satisfaction and confidence were the influencing factors of preoperative decision conflict in patients with hip arthroplasty. Conclusions The preoperative decision conflict of patients with hip arthroplasty is at a lower middle level, so we should adopt a localized decision coping style for preoperative intervention to reduce the level of decision conflict of patients.
查看全文   查看/发表评论  下载PDF阅读器
关闭