妇科肿瘤患者PICC知情同意移动医疗决策辅助程序的设计与实施

目的设计并实施PICC知情同意移动医疗决策辅助程序,增强患者决策参与意愿。方法将妇科肿瘤科行PICC化疗的86例患者随机分为观察组和对照组各43例,对照组采用常规PICC知情同意,观察组在对照组基础上,利用移动护理信息系统,构建并实施妇科肿瘤患者PICC知情同意移动医疗决策辅助程序。结果观察组焦虑抑郁状态评分显著低于对照组,患者的决策实际参与程度显著高于对照组,患者决策参与满意度总分及各维度得分显著高于对照组(P<0.05,P<0.01)。结论PICC知情同意移动医疗决策辅助程序为妇科肿瘤患者提供精准化的决策辅助,缓解了患者置管时的焦虑抑郁情绪,提高了患者决策实际参与程度及满意度。

Design and implementation of PICC informed consent mobile medical decision aid program for gynecological tumor patients

Objective To design and implement PICC informed consent mobile medical decision support program,so as to enhance patients′willingness to participate in decision-making.Methods A total of 86 patients undergoing PICC chemotherapy in gynecolo-gical oncology department were randomized into an intervention group and a control group,with 43 patients in each group.The control group received conventional PICC informed consent,while the intervention group additionally used the mobile nursing information system to construct and implement PICC informed consent mobile medical decision aid program.Results The score of anxiety and depression in the intervention group were significantly lower than those in the control group,its degree of decision-making participation was significantly higher than that in the control group,and its total score and subscale scores of decision-making participation satisfaction were significantly higher than those in the control group(P<0.05,P<0.01).Conclusion The PICC informed consent mobile medical decision aid program provides accurate decision aid for gynecological tumor patients,alleviates their anxiety and depression during catheterization,and improves their actual degree of decision-making participation and satisfaction.