Volume 42 Issue 8
Aug.  2021
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Article Navigation >  Journal of Kunming Medical University  > 2021  >  42(8): 177-180
Huang Yan Ling , Lu Yong Ping , Ta Lin Kun , Xu Fei , Zhang Qiong . Ultrasonic Blood Flow Index Combined with Serum β-HCG in Mornitoring the Function of Placenta during Pregnancy[J]. Journal of Kunming Medical University, 2017, 38(06): 102-107.
Citation: Ying ZHANG, Jing GUO, Tao FENG, Yan ZHOU, Yao HUANG, Xiao-feng DENG, LU ZHENG. Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period[J]. Journal of Kunming Medical University, 2021, 42(8): 177-180. doi: 10.12259/j.issn.2095-610X.S20210832
shu

Shared Decision-making in Patients with Primary Liver Cancer During Perioperative Period

doi: 10.12259/j.issn.2095-610X.S20210832

  • Dept. of Hepatobiliary Surgery，The 2nd Affiliated Hospital of Military Medical University，Chongqing 400037，China

  • Received Date: 2021-06-05
    Available Online: 2021-08-04
  • Publish Date: 2021-08-04
    Abstract
  •   Objective  To investigate the effect of the shared decision-making in patients with primary liver cancer during perioperative period.  Methods  A total of 120 patients with primary liver cancer who underwent laparoscopic hepatectomy from November 1, 2020 to April 30, 2021 were selected and randomly divided into control group （n = 60） and experimental group （n = 60）. The patients in the control group were treated with routine health intervention mode during perioperative period, while the patients in the experimental group were treated with the patient-nurse shared decision-making mode. The psychological pain degree （distress thermometer, DT）, the hospital anxiety and depression degree （HADS）, postoperative self-care ability (ADL), compliance behavior, length of hospital stay, patient satisfaction and follow-up visit rate were compared between the two groups.  Results  There was no significant difference in the psychological state and self-care ability between the experimental group and the control group （P > 0.05）; Postoperative self-care ability, patient compliance behavior, length of hospital stay, medical satisfaction, follow-up visit rate were significantly better than the control group, the difference was statistically significant （P < 0.05）.  Conclusion  Shared decision-making for primary liver cancer patients undergone laparoscopic hepatectomy is beneficial in reducing psychological distress, relieving patients’ anxiety depression, improving postoperative life self-care ability and improving the medical behavior, shortening the length of hospital stay, which is both safe and efficient for patients’ recovery, and is worthy of clinical promotion and reference.
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  • [1]
    Zheng R,Qu C,Zhang S,et al. Liver cancer incidence and mortality in China:temporal trends and projections to 2030[J]. Original Articl,2018,30(6):571-579.
    [2]
    高靖琰,陈富坤,鄢佳文,等. 肝动脉化疗栓塞联合强调放疗治疗原发性肝癌的临床疗效[J]. 昆明医科大学学报,2017,38(1):95-98. doi: 10.3969/j.issn.1003-4706.2017.01.020
    [3]
    Zhou M,Wang H,Zeng X,etal. Mortality,morbidity,and risk factors in China and its prowinces,1990-2017:A systematic analysis for the global burden of disease study 2017[J]. Lancet,2019,394(10204):1145-1148. doi: 10.1016/S0140-6736(19)30427-1
    [4]
    袁丽仙,张洪涛,李锐,等. 血清异常凝血酶原检测对原发性肝癌诊断的临床价值[J]. 昆明医科大学学报,2020,41(12):80-84.
    [5]
    孙丽萍,李丽,叶志霞. 原发性肝癌患者诊断知情过程中真实心理体验的质性研究[J]. 解放军管理杂志,2015,32(3):1-5.
    [6]
    王思潼,叶志霞,潘泽亚,等. 原发性肝癌患者治疗决策辅助平台设计[J]. 解放军管理杂志,2021,28(2):129-133.
    [7]
    吴随一,唐政,史颖弘,等. 国家卫健委员会《原发性肝癌诊疗规范(2019年版)》在线教育项目[J]. 上海医学,2020,43(8):513-516.
    [8]
    Mcllvennan C K,Thompson J S,Matlock D D,et al. A multicenter trial of a shared decision support intervention for patients and their caregivers offered destination therapy for advanced heart failure:DECIDE-LVAD:Rationale,design,and pilot data[J]. J Cardiovasc Nurs,2016,31(6):8-20. doi: 10.1097/JCN.0000000000000343
    [9]
    Probst M A,Noseworthy P A,Brito J P,et al. Shared decision making as the future of emergency cardiology[J]. Can J Cardiol,2018,34(2):117-124. doi: 10.1016/j.cjca.2017.09.014
    [10]
    Fatihoglu E,Aydin S,Gokharman F D,et al. X-ray use in chest imaging in emergency department on the basis of cost and effectiveness[J]. Acad Radiol,2016,23(10):1239-1245. doi: 10.1016/j.acra.2016.05.008
    [11]
    曹琴琴,张宗侠,王西鸽,等. 共享决策在急诊心血管疾病护理中的应用[J]. 中华护理杂志,2019,54(4):595-598. doi: 10.3761/j.issn.0254-1769.2019.04.024
    [12]
    姚抒予,张雯,罗媛慧,等. 医患共同决策的研究进展[J]. 中国护理管理,2017,17(3):428-431. doi: 10.3969/j.issn.1672-1756.2017.03.033
    [13]
    郑红颖,胡嘉乐,董柏君,等. 医患共享决策评估工具的研究进展[J]. 中华护理杂志,2018,53(5):622-627. doi: 10.3761/j.issn.0254-1769.2018.05.023
    [14]
    刘楠,李琴,季苗苗,等. 基于共享决策的医护-家属联动干预对胃癌患者的影响[J]. 齐鲁护理杂志,2021,27(8):1-3. doi: 10.3969/j.issn.1006-7256.2021.08.001
    [15]
    邓凤连. 医护患共同决策模式在急性有机磷农药中毒患者健康教育中的而应用效果评价[J]. 齐齐哈尔医学院学报,2020,1(13):1690-1693. doi: 10.3969/j.issn.1002-1256.2020.13.040
    [16]
    中华人民共和国国家卫生健康委员会医政医管局. 原发性肝癌诊疗规范(2019年版)[J]. 临床肝胆病杂志,2020,36(2):277-292. doi: 10.3969/j.issn.1001-5256.2020.02.007
    [17]
    王红丽,陈玲,徐春艳,等. 基于德尔菲法构建加速康复外科肝癌患者围手术期护理方案[J]. 新疆医科大学学报,2019,42(3):415-419.
    [18]
    谢青云,雷泽华,高峰畏,等. 原发性肝癌TACE介入治疗前后血清AFP、AKP、γ-GT水平的变化[J]. 昆明医科大学学报,2018,39(10):101-104. doi: 10.3969/j.issn.1003-4706.2018.10.020
    [19]
    柳书悦,陈梅先,何凤英,等. 基于自我效能理论的原发性肝癌术后病人恐惧疾病进展影响因素分析[J]. 护理研究,2021,35(6):1056-1060. doi: 10.12102/j.issn.1009-6493.2021.06.020
    [20]
    骆佳莉,王惑. 浅析中国“医患共同决策”的理论研究—基于CNKI的文献分析[J]. 中国医学伦理学,2020,33(2):192-197. doi: 10.12026/j.issn.1001-8565.2020.02.12
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