摘要
目的调查即刻乳房再造乳腺癌患者决策冲突现状,并分析其与人格特征的关系,为理解决策行为提供新思路,促进有效决策。方法采用横断面调查研究方法,以便利抽样法选取2022年5-12月在天津医科大学肿瘤医院符合纳入排除标准并行即刻乳房再造的175例乳腺癌患者为研究对象,使用一般资料调查表、决策冲突量表、大五人格量表及决策期待量表进行问卷调查。采用单因素分析及多元线性回归法进行决策冲突现况及影响因素分析。结果纳入的175例即刻乳房再造乳腺癌患者均为女性,年龄24~67(45.26±8.01)岁。其决策冲突量表评分为(25.05±7.05)分,标准化决策冲突得分为(39.14±10.04)分,其中影响决策因素维度得分(10.82±3.27)分,有效决策维度得分(7.18±2.58)分,决策不确定维度得分(7.34±2.28)分。37例占21.14%的患者不存在决策冲突,64例占36.57%的患者存在中等决策冲突,74例占42.29%的患者陷入高水平的决策冲突。调查的患者人格特质的利他性、神经质、开放性、社会性和道德感评分分别为(15.16±3.43)、(18.14±4.95)、(13.71±3.71)、(18.12±4.40)、(17.46±4.03)分。患者的决策冲突与利他性、社会性和道德感呈负相关(r=-0.355、-0.543、-0.331,均P<0.05),与神经质呈正相关(r=0.208,P<0.05)。多元线性回归分析显示年龄、决策类型、神经质及社会性为决策冲突的影响因素(F=16.39,P<0.05),共解释47.1%的变异,上述变量的方差膨胀因子均<10,不存在共线性。结论即刻乳房再造乳腺癌患者决策冲突亟需改善,医护人员应结合患者年龄、决策类型及人格特质综合评估影响患者决策冲突的因素,落实个性化决策辅助流程,满足决策信息需求,降低决策冲突水平,优化决策支持体系。
Objective To explore the current status of decision conflict in breast cancer patients with immediate breast reconstruction,and analysis the relationship with personality traits,which can provides new ideas for understanding decision-making behavior and promotes effective decision-making.Methods A cross-sectional survey was conducted to select 175 breast cancer patients who met the inclusion and exclusion criteria for immediate breast reconstruction in Cancer Hospital of Tianjin Medical University from May to December 2022 by convenient sampling method.A questionnaire was conducted using the general information questionnaire,Revised NEO Personality Inventory,Decisional Conflict Scale,and the Control Preference Scale.Single factor analysis and multiple linear regression were used to analyze the current situation and influencing factors of decision-making conflict.Results The 175 patients with immediate breast reconstruction were all female,aged 24-67(45.26±8.01)years.The decision conflict score of 175 breast cancer patients with immediate breast reconstruction was(25.05±7.05),the standardized decision conflict score was(39.14±10.04),the dimension score of factors affecting decision making was(7.18±2.58),the score of decision uncertainty dimension was(7.34±2.28).37 patients(21.14%)had no decision conflict,64 patients(36.57%)had moderate decision conflict,and 74 patients(42.29%)had high level decision conflict.The scores of altruism,neuroticism,openness,sociality and moral sense of patients in this survey were(15.16±3.43),(18.14±4.95),(13.71±3.71),(18.12±4.40)and(17.46±4.03)respectively.The decision conflict was negatively correlated with altruism,sociality and moral sense(r=-0.355,-0.543,-0.331,all P<0.05),and positively correlated with neuroticism(r=0.208,P<0.05).Multivariate regression analysis showed that age,decision type,neuroticism and sociality were the influencing factors of decision conflict(F=16.39,P<0.05),accounted for 47.1%of the variation.The variance inflation factor of the above variables w
作者
张青月
张秀丽
王燕
华晶
张爱爱
尹健
Zhang Qingyue;Zhang Xiuli;Wang Yan;Hua Jing;Zhang Aiai;Yin Jian(Tianjin Medical University Tumor Hospital,National Center for Clinical Medicine Research of Malignant Tumor,Tianjin Clinical Medicine Research of Malignant Tumor,Tianjin Key Laboratory of Cancer Prevention and Treatment,Key Laboratory of Breast Cancer Prevention and Treatment,Ministry of Education,Department of Breast Reconstruction,China-Russia Joint Research Center for Breast Neoplasms and Plastic Surgery,Tianjin 300060,China)
出处
《中国实用护理杂志》
2024年第19期1484-1490,共7页
Chinese Journal of Practical Nursing
基金
天津医科大学2023年度医院管理创新研究项目(2023YG05)
中华护理学会课题(ZHKY202302)
天津护理学会项目(tjhlky2023YB01)
天津市医学重点学科(专科)建设项目资助(TJYXZDXK-011A)。
关键词
乳腺肿瘤
乳房再造术
决策冲突
人格
Breast neoplasms
Breast reconstruction
Decision conflict
Personality
