影响妇科肿瘤手术患者手术治疗决策满意度因素的分析

摘要

Objective To investigate the influencing factors of satisfaction with surgical treatment decision-making in gynecologic cancer patients. Methods One hundred and eighty gynecologic oncology patients in the First People's Hospital of Yulin, Guangxi were selected as the study group. The questionnaire of CPE was used to investigate the decision-making participation expectation scale. Results Toally 95 patients (52.78%) were satisfied with the operation decision-making. Logistic regression analysis showed that the satisfaction degree was correlated with information of the treatment plan, full communication between the doctors and patients and worry about the operation failure (P<0.05). Conclusions The patient's satisfaction with operation decision-making among gynecologic tumor patients is at a lower level. The communication between patients and relatives, doctors and patients should both be improved to eliminate patients' concerns about the surgical failure and thus improve their satisfaction with the operation decision-making.%目的 了解影响妇科肿瘤患者手术治疗决策满意度的因素,为制订相关对策提供依据.方法 采用决策参与期待量表(control preference scale,CPS)对180例妇科肿瘤手术患者进行调查.结果 对手术治疗决策表示非常满意的患者有95例(52.78%);Logistic回归分析结果显示,与家人交流了解关于治疗方案信息、医患充分交流、不担心手术失败的患者对手术治疗决策的满意度更高(均P<0.05).结论 妇科肿瘤患者对手术决策的满意度不高.应加强患者与其亲属间的沟通及提高医患沟通水平,以消除患者对手术的顾虑,从而提高妇科肿瘤患者对手术治疗决策的满意度.