淋巴瘤患者静脉置管决策辅助支持系统的构建及应用OA
Development and Application of a Decision-Making Support System for Venous Catheterization in Lymphoma Patients
目的 构建淋巴瘤患者静脉置管选择的决策辅助支持系统,并探讨其临床应用效果.方法 通过半结构式访谈确定患者静脉置管选择问题清单,并基于此制定决策辅助支持手册和系统.以上海市某三级甲等综合医院2024年6-7月收治的58例淋巴瘤患者作为对照组,受常规健康教育;以2024年8-9月收治的58例患者作为试验组,在对照组基础上使用决策辅助支持系统;比较两组患者决策困境量表(DCS)和决策满意度量表得分情况.结果 试验组患者DCS总分及各维度得分均低于对照组(P<0.05),决策满意度总分及各维度得分高于对照组(P<0.05).结论 患者决策辅助支持系统可有效帮助淋巴瘤患者进行静脉置管选择,提高患者参与治疗决策的积极性和满意度.
Objective To develop a decision-making support system for venous catheterization selection in lymphoma patients and explore its clinical effects.Methods A list of venous catheterization selection issues was determined through semi-structured interviews with patients,based on which a decision-making support manual and system were developed.A total of 58 lymphoma patients admitted to a Grade Ⅲ-A general hospital in Shanghai from June to July 2024 were assigned to the control group and received routine health education.Another 58 patients admitted from August to September 2024 were assigned to the test group and additionally used a decision-making support system.The scores of the Decisional Conflict Scale(DCS)and the Decision Satisfaction Scale(DSS)were compared between the two groups.Results The total and dimension scores of DCS in the test group were lower than those in the control group(P<0.05),and the total and dimension scores of DSS in the test group were higher than those in the control group(P<0.05).Conclusion The patient decision-making support system assists lymphoma patients in selecting venous catheters and enhances their motivation and satisfaction in participating in treatment decisions.
赫洋;张寅;秦莉媛
上海交通大学医学院附属瑞金医院,上海 200020上海交通大学医学院附属瑞金医院,上海 200020上海交通大学医学院附属瑞金医院,上海 200020
医药卫生
淋巴瘤静脉置管决策辅助支持决策困境满意度
LymphomaVenous catheterizationDecision-making supportDecisional conflictSatisfaction
《上海护理》 2026 (1)
7-10,4
《上海护理》2023年静脉治疗护理专项科研项目(2023JL-B01).
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