目的 了解乳腺癌患者决策疲劳现状及影响因素,为制定针对性的决策辅助措施提供参考。方法 采用便利抽样法,于2023年11月—2024年5月选取惠州市3所综合医院中的400例乳腺癌患者作为研究对象,采用一般资料调查表、决策疲劳量表、决策冲突量表、决策准备量表、社会支持评定量表、全面健康素养量表对400例乳腺癌患者进行调查,运用单因素分析及多元线性回归分析乳腺癌患者决策疲劳的影响因素。结果 乳腺癌患者决策疲劳总分为（17.93±4.40）分,多元线性回归分析结果显示,文化程度、睡眠时间、不清楚自己具体的肿瘤分期、经历治疗方式种类、决策冲突、决策准备、社会支持是决策疲劳的影响因素（P<0.05）。结论 乳腺癌患者决策疲劳处于中等水平,医护人员应重视文化程度低、睡眠时间短、对不清楚自己具体肿瘤分期、经历治疗方式种类多、决策冲突水平高、决策准备水平低、社会支持水平低的患者,以便及时发现并采取有效措施以降低患者决策疲劳水平,提高其参与治疗决策过程中决策积极性。
Abstract
Objective To explore the current status of decision fatigue among patients with breast cancer and its influencing factors, and to provide reference for formulating targeted decision support measures. Methods A total of 400 patients with breast cancer from 3 general hospitals in Huizhou City, Guangdong Province from November 2023 to May 2024 were selected by convenience sampling. The General Information Questionnaire, Decision Fatigue Scale, Decision Conflict Scale, Preparation for Decision Making Scale, Social Support Rating Scale, and All Aspects of Health Literacy Scale were used to conduct the investigation. Results The score of Decision Fatigue Scale for patients with breast cancer was 17.93±4.40. Multiple linear regression analysis showed that educational background, lack of specific tumor stage, sleep duration, treatment methods experienced, decision conflict, decision preparation and social support were the influencing factors of decision fatigue（P<0.05）. Conclusion Decision fatigue of patients with breast cancer is at a moderate level. Healthcare providers should take the influencing factors into consideration and take effective measures to timely detect and reduce decision fatigue of patients, thus to improve their decision enthusiasm.
关键词
乳腺癌 /
决策疲劳 /
决策冲突 /
决策准备 /
社会支持 /
护理
Key words
breast cancer /
decision fatigue /
decision conflict /
preparation for decision making /
social support /
care
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