肿瘤患儿父母共享决策影响因素的质性研究
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女,硕士在读,学生

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Parents′ perspectives on factors affecting shared decision-making for children with cancer
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    目的 深入了解肿瘤患儿父母共享决策方式及影响因素,为促进共享决策提供参考。 方法 采用描述性质性研究方法,以目的抽样法选取肿瘤患儿父母15人进行半结构式访谈,采用内容分析法对访谈资料进行分析。 结果 共提炼出2个主题、5个亚主题,分别为实际决策方式(医生主导决策、双方共同决策),共享决策参与的影响因素(父母自身因素、医疗环境因素、其他外部因素)。 结论 肿瘤患儿父母共享决策参与情况并不理想。医务人员应当关注其参与共享决策的意愿,针对影响因素进行干预,以满足肿瘤患儿父母沟通及信息需求,提升患儿父母共享决策参与意愿。

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    Objective To explore the shared decision-making style and the influencing factors among parents of children with cancer, so as to provide references for promoting the implementation of shared decision-making. Methods Descriptive qualitative research design was used in this study, and 15 parents of children with cancer were selected purposively for semi-structured interview.Content analysis was utilized to analyze the data. Results Two themes and five subthemes were extracted, including:the actual decision-making style (physician-led decision-making, or shared decision-making); and factors influencing shared decision-making (parents′ own factors, medical environmental factors, and other external factors). Conclusion Parent participation in shared decision-making for children with cancer is unsatisfactory.Medical staff should focus on parents′ willingness to participate in shared decision-making and provide targeted interventions, thus to meet communication and information needs of these parents.

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韩金纳,蔡瑞卿,刘可.肿瘤患儿父母共享决策影响因素的质性研究[J].护理学杂志,2023,28(9):52-55

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  • 收稿日期:2022-12-13
  • 最后修改日期:2023-02-03
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  • 在线发布日期: 2023-12-29