| 宋舒,闫楚楚,曹慧琼,张伟英.心血管病介入治疗患者临床决策参与期望及实际参与度的研究[J].上海护理,2024,24(4): |
| 心血管病介入治疗患者临床决策参与期望及实际参与度的研究 |
| A Study on the Expectation and Actual Participation of Patients with Cardiovascular Interventional Therapy in Clinical Decision Making |
| DOI： |
| 中文关键词: 心血管病 临床决策 患者参与 介入 |
| 英文关键词:cardiovascular disease clinical decision-making,patients participation,interventional treatment |
| 基金项目:同济大学“护理学院（筹）学科建设三年行动计划” 青年人才资助项目（JS2210209），同济大学“护理学院（筹）学科建设三年行动计划” 临床研究资助项目（JS2210329）上海市浦东新区卫生系统重要薄弱学科建设项目资助（编号：PWZbr2022-04） |
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| 中文摘要: |
| 目的 了解心血管病介入治疗患者临床决策参与期望及实际参与度现状，分析其影响因素，为促进心血管病介入治疗患者参与临床决策提供理论依据。 方法 选取2021年11月至2022年4月同济大学附属东方医院收治的240例心血管病介入治疗患者，采用横断面调查方式收集患者一般资料、临床决策参与期望和实际参与程度。采用单因素分析、多元线性回归分析和多元Logistic回归分析探索其影响因素。 结果 心血管病介入治疗患者临床决策期望总得分为（50.62±10.33）分，临床决策实际参与程度高者占19.17%，参与程度低者占80.83%。 多元线性回归分析显示学历、婚姻状况、生育情况和是否首次接受介入治疗是患者参与临床决策期望的影响因素，解释变异总量27.00%；多元Logistic回归分析显示学历、是否知晓诊断名称、是否首次接受介入治疗是患者参与临床决策实际程度的影响因素。结论 心血管病介入治疗患者参与临床决策期望高，而实际参与程度低。学历、是否首次接受介入治疗等因素会影响病人临床决策参与的期望和程度。 |
| 英文摘要: |
| Abstract Objective To understand the expectation and actual participation of patients with cardiovascular disease undergoing interventional therapy in clinical decision-making, and analyze their influencing factors, so as to provide a theoretical basis for promoting patients’participation.
Methods 240 patients patients with cardiovascular disease by interventional therapy admitted to Shanghai EastHospital Affiliated to Tongji University from November 2021 to April 2022 were conveniently selected, and the general information, expectation and actual participation of clinical decision-making were collected by cross-sectional survey. Single factor analysis, multiple linear regression analysis and multiple logistic regression analysis were used to explore the influencing factors.
Results The total expected score of clinical decision-making was (50.62 ± 10.33). 19.17% of them had a high degree of participation in clinical decision-making, and 80.83% had a low degree of participation.Multiple linear regression analysis showed that educational background, marital status, fertility and whether to receive interventional therapy for the first time were the influencing factors of patients"" expectation of participating in clinical decision-making, and the total explained variation was 27.00%.Multiple logistic regression analysis showed that educational background, knowing the diagnosis and whether to receive interventional therapy for the first time were the influencing factors of the actual degree of patients"" participation in clinical decision-making.
Conclusion Patients with cardiovascular interventional therapy have high expectations of participating in clinical decision-making, but their actual participation is low. Educational background, whether to accept interventional therapy for the first time and other factors will affect the expectation and degree of patients"" participation in clinical decision-making. |
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