卵巢癌患者医患共同决策现状及影响因素分析

目的 了解卵巢癌患者医患共同决策现状，分析影响因素，为针对性干预提供参考。方法 采用一般资料调查问卷、中文版患者参与治疗决策态度问卷和决策困境量表对205例卵巢癌患者进行调查。结果 卵巢癌患者参与治疗决策态度总均分为2.39±0.57,决策困境总分为34.23±5.79;logistic回归分析显示，年龄、首次治疗、决策困境是参与治疗决策态度的主要影响因素(均P<0.05)。结论 卵巢癌患者参与医患共同决策态度积极，决策困境呈中等偏上水平；医护人员应针对影响因素提供个体化指导，以降低患者决策困境，提高患者共同决策参与度。

Shared decision-making and its correlates in patients with ovarian cancer

Objective To investigate the current state of shared decision-making (SDM) in patients with ovarian cancer, to analyze the influencing factors, and to provide reference for targeted intervention. Methods Totally, 205 patients with ovarian cancer completed a demographic data questionnaire, the Chinese version of the Patient Participation in Decision Making Regarding Treatment and Nursing Care Research Questionnaire and the Decisional Conflict Scale. Results The total score of attitude of ovarian cancer patients to participation in treatment decision-making was (2.39±0.57) and the total score of decisional conflict was (34.23±5.79). Logistic analysis showed that age, first treatment and decisional conflict were factors affecting attitude to participation in treatment decision-making (all P<0.05). Conclusion Patients with ovarian cancer have a positive attitude to participation in SDM, and their decisional conflict is at moderate to high level. Medical staff should provide individualized guidance for patients according to the influencing factors, so as to reduce their decisional conflict and enhance their participation in SDM.