基于渥太华决策支持框架的血液肿瘤患者决策准备的质性研究
A Qualitative Study on Decision-Making Preparation for Patients with Hematologic Oncology Based on the Ottawa Decision Support Framework
DOI: 10.12677/NS.2023.124060, PDF,   
作者: 吴 迪, 方艳秋：贵州中医药大学研究生院，贵州 贵阳；钱 利*：贵州省人民医院消化内科，贵州 贵阳；吴 倩：贵州经贸职业技术学院，贵州 都匀
关键词: 渥太华决策支持框架；血液肿瘤；决策准备；质性研究； Ottawa Decision Support Framework； Hematological Oncology； Decision Preparation； Qualitative Study
摘要: 目的：了解血液肿瘤患者的决策准备情况，为医护人员开发患者决策辅助工具提供参考。方法：采用目的抽样法选取15例血液肿瘤患者进行半结构式访谈，采用Colaizzi七步法分析资料。结果：血液肿瘤患者的决策准备受到自身健康素养低、患者决策辅助工具缺乏、医患沟通时间不足及负性情绪的影响。结论：血液科医护人员应提高血液肿瘤患者的健康素养、开发患者决策辅助工具、提高自身沟通能力并开展心理干预，提高血液肿瘤患者的决策准备程度，促进患者参与医患共同决策。
Abstract: Objective: To understand the decision-making readiness of patients with hematological malignancies, and provide reference for medical staff to develop patient decision-making aids. Methods: 15 patients with hematological malignancies were selected by purposive sampling method for semi-structured interviews, and the data were analyzed by Colaizzi seven-step method. Results: The decision-making readiness of patients with hematological malignancies was affected by low health literacy, lack of decision-making aids, insufficient communication time between doctors and patients, and negative emotions. Conclusion: Hematology medical staff should improve the health literacy of hematological cancer patients, develop patient decision-making aids, improve their own communication skills and carry out psychological intervention, improve the decision-making readiness of hematological cancer patients, and promote patients to participate in the joint decision-making between doctors and patients.
文章引用：吴迪, 钱利, 方艳秋, 吴倩. 基于渥太华决策支持框架的血液肿瘤患者决策准备的质性研究[J]. 护理学, 2023, 12(4): 423-428. https://doi.org/10.12677/NS.2023.124060

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