乳腺癌患者共享决策的影响因素和实施策略
Influential Factors and Implementation Strategies for Shared Decision Making in Breast Cancer Patients
摘要: 乳腺癌是全球女性高发的恶性肿瘤之一，随着医学模式的转变和循证观念的提出，乳腺癌患者参与治疗护理决策的意愿逐渐增强，但患者实际参与决策的程度低于意愿参与。共享决策的提出能够帮助患者了解疾病相关信息，结合自身偏好做出明智的选择。本文旨在阐述乳腺癌患者共享决策的应用现状，分析影响共享决策实施的相关因素，提出应在我国推广共享决策理念，加强多学科合作、发挥专科护士的决策辅导作用以提供个性化决策支持的建议，由此提高乳腺癌患者的决策质量，减少决策后悔。
Abstract: Breast cancer is one of the most common malignant tumors in women in the world, and with the transformation of medical models and the proposal of evidence-based concepts, breast cancer pa-tients’ willingness to participate in treatment and nursing decisions has gradually increased, but the degree of actual participation of patients in decision-making is lower than that of willingness to participate. Shared decision-making helps patients understand disease-related information and make informed choices based on their preferences. This paper aims to explain the application sta-tus of shared decision-making in breast cancer patients, analyze the relevant factors affecting the implementation of shared decision-making, and propose that the concept of shared deci-sion-making should be promoted in China, multidisciplinary cooperation should be strengthened, and the decision-making guidance role of specialist nurses should be given full play to provide per-sonalized decision-making support suggestions, so as to improve the decision-making quality of breast cancer patients and reduce decision-making regret.
文章引用：杨雅茹, 王美铭, 李珊. 乳腺癌患者共享决策的影响因素和实施策略[J]. 临床医学进展, 2023, 13(9): 15013-15019. https://doi.org/10.12677/ACM.2023.1392099

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