Volume 42 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
Abstract
References
Relative Articles
Article Navigation >  Journal of Kunming Medical University  > 2021  >  42(8): 177-180
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
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.
    • FullText(HTML)
    • References(20)
  • [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
    • Relative Articles(20)

  • Relative Articles

    [1] Yuanzhen WANG, Hongyan WEI, Renhai TIAN, Yongzhen Chen, Danqing XU, Yingyuan ZHANG, Lixian CHANG, Chunyun LIU, Li LIU. Establishment and Evaluation of a Risk Prediction Model for Chronic Liver Failure Complicated by Primary Hepatocellular Carcinoma Before Intervention. Journal of Kunming Medical University, 2025, 46(3): 1-9.
    [2] Hongmei BAO, Rong QIN, Yu ZHANG, Meiju YANG, Gang SU. Effect of PCV-VG Mode Combined with Dexmedetomidine on Intraoperative Respiratory Mechanics and Blood Gas Indicators in Patients Undergoing Laparoscopic Sleeve Gastrectomy. Journal of Kunming Medical University, 2024, 45(9): 110-115.  doi: 10.12259/j.issn.2095-610X.S20240917
    [3] Bo PENG, Gang SU, Rong QIN, Rong WEN, Wei YIN. Observation of Achieving Controlled Low Central Venous Pressure with Goal-directed Fluid Therapy Combined with Milrinone in Laparoscopic Hepatic Lobectomy. Journal of Kunming Medical University, 2024, 45(9): 116-121.  doi: 10.12259/j.issn.2095-610X.S20240918
    [4] Lei CHEN, Tong TANG, Daizhong ZHANG, Fengling LIU, Zhongqiu YANG, Huan YAN. Effect of Precise Hepatic Pedicle Dissection Assisted Laparoscopic Hepatectomy and Its Impact on Inflammatory Immune Stress and Liver Function. Journal of Kunming Medical University, 2024, 45(4): 120-127.  doi: 10.12259/j.issn.2095-610X.S20240417
    [5] Ying ZHANG, Fengxia YANG, Jing GUO, Qingling ZHANG. Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer. Journal of Kunming Medical University, 2023, 44(11): 170-174.  doi: 10.12259/j.issn.2095-610X.S20231126
    [6] Ying ZHANG, Yan ZHOU, Jing GUO, Tao FENG, Fengxia YANG, Yao HUANG, Xiaofeng DENG, Lu ZHENG. Construction of Rehabilitation Log and Its Effect on Recovery after Laparoscopic Hepatocellular Carcinoma Resection. Journal of Kunming Medical University, 2022, 43(7): 177-180.  doi: 10.12259/j.issn.2095-610X.S20220729
    [7] Jing GUO, Ying ZHANG, Fengxia YANG, Yan ZHOU, Tao FENG. Effect of Nurse-led Nursing Model in Patients with Laparoscopic Hepatectomy. Journal of Kunming Medical University, 2022, 43(6): 177-180.  doi: 10.12259/j.issn.2095-610X.S20220605
    [8] Ying ZHANG, Jing GUO, Feng-xia YANG, Yan ZHOU, Yao HUANG, Xiao-feng DENG, Tao FENG, Na MI. Application of Nursing Health Education Pathways Under ERAS Concept in Perioperative Period of Laparoscopic Liver Lobotomy. Journal of Kunming Medical University, 2021, 42(4): 168-171.  doi: 10.12259/j.issn.2095-610X.S20210432
    [9] Xie Qing Yun , Lei Ze Hua , Gao Feng Wei , Jiang Kang Yi . . Journal of Kunming Medical University, 2018, 39(10): 101-104.
    [10] Gao Jing Yan , Chen Fu Kun , Yan Jia Wen , Wang Jia Ping . Clinical Analysis of Transcatheter Arterial Chemoembolization Combined with Intensity Modulated Radiotherapy Therapy for Patients with Primary Hepatic Carcinoma. Journal of Kunming Medical University, 2017, 38(01): 95-98.
    [11] Zhang Yong Qin . . Journal of Kunming Medical University,
    [12] Wang Zhe Yu . . Journal of Kunming Medical University,
    [13] Li Xiao Kai . . Journal of Kunming Medical University,
    [14] Tang Jian Zhong . . Journal of Kunming Medical University,
    [15] Zhang Jie . . Journal of Kunming Medical University,
    [16] . . Journal of Kunming Medical University,
    [17] Xiao Zhong Xian . Establishment of The Model of Bile Duct Strictures by Electrocautery Injury in Japanese Rabbits. Journal of Kunming Medical University,
    [18] . Therapeutic Effect of Transcatheterhepatic Arterial Chemoembolization(TACE)Combined with Operation on 96 Cases of Primary Hepatic Carcinoma. Journal of Kunming Medical University,
    [19] . . Journal of Kunming Medical University,
    [20] Hao Jin Gang . . Journal of Kunming Medical University,
    • Supplements(0)
    • Cited By

  • Cited by

    Periodical cited type(1)

    1. 张萌，张贞，金小敏，李蒙，邓剑平，杨小林. 动脉瘤性蛛网膜下腔出血患者介入术后认知功能障碍的影响因素分析及预测模型构建. 中华神经外科疾病研究杂志. 2025(02): 26-31 .

    Other cited types(0)

  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-032025-04050100150200250
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 50.6 %FULLTEXT: 50.6 %META: 49.0 %META: 49.0 %PDF: 0.4 %PDF: 0.4 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 4.7 %其他: 4.7 %其他: 0.3 %其他: 0.3 %Absecon: 0.1 %Absecon: 0.1 %Bass Hill: 0.0 %Bass Hill: 0.0 %Central District: 0.3 %Central District: 0.3 %China: 0.3 %China: 0.3 %Falkenstein: 0.2 %Falkenstein: 0.2 %Herndon: 0.0 %Herndon: 0.0 %Madison: 0.0 %Madison: 0.0 %Newark: 0.1 %Newark: 0.1 %Norman: 0.0 %Norman: 0.0 %Poznan: 0.0 %Poznan: 0.0 %Seattle: 0.0 %Seattle: 0.0 %三明: 0.0 %三明: 0.0 %上海: 8.5 %上海: 8.5 %上饶: 0.0 %上饶: 0.0 %东莞: 0.2 %东莞: 0.2 %中卫: 0.0 %中卫: 0.0 %临沂: 0.0 %临沂: 0.0 %丽江: 0.1 %丽江: 0.1 %乌鲁木齐: 0.1 %乌鲁木齐: 0.1 %云浮: 0.0 %云浮: 0.0 %佳木斯: 0.1 %佳木斯: 0.1 %保定: 0.0 %保定: 0.0 %元朗新墟: 0.0 %元朗新墟: 0.0 %六安: 0.1 %六安: 0.1 %凉山: 0.0 %凉山: 0.0 %加利福尼亚州: 0.0 %加利福尼亚州: 0.0 %北京: 31.4 %北京: 31.4 %十堰: 0.1 %十堰: 0.1 %南京: 0.3 %南京: 0.3 %南充: 0.0 %南充: 0.0 %南宁: 0.0 %南宁: 0.0 %南通: 0.1 %南通: 0.1 %博尔塔拉: 0.1 %博尔塔拉: 0.1 %博阿努瓦: 0.0 %博阿努瓦: 0.0 %厦门: 0.1 %厦门: 0.1 %台州: 0.2 %台州: 0.2 %合肥: 0.2 %合肥: 0.2 %吕梁: 0.0 %吕梁: 0.0 %呼和浩特: 0.1 %呼和浩特: 0.1 %咸阳: 0.0 %咸阳: 0.0 %哥伦布: 0.1 %哥伦布: 0.1 %嘉兴: 0.2 %嘉兴: 0.2 %埃德蒙顿: 0.0 %埃德蒙顿: 0.0 %塔城: 0.0 %塔城: 0.0 %大连: 0.0 %大连: 0.0 %天津: 0.6 %天津: 0.6 %威海: 0.4 %威海: 0.4 %宁波: 0.3 %宁波: 0.3 %安那罕: 0.3 %安那罕: 0.3 %官坑: 0.1 %官坑: 0.1 %宣城: 0.3 %宣城: 0.3 %宿州: 0.2 %宿州: 0.2 %密蘇里城: 0.0 %密蘇里城: 0.0 %巴音郭楞: 0.1 %巴音郭楞: 0.1 %布鲁塞尔: 0.0 %布鲁塞尔: 0.0 %常州: 0.2 %常州: 0.2 %平顶山: 0.1 %平顶山: 0.1 %广元: 0.0 %广元: 0.0 %广州: 0.4 %广州: 0.4 %庆阳: 0.0 %庆阳: 0.0 %廊坊: 0.1 %廊坊: 0.1 %延安: 0.0 %延安: 0.0 %弗吉: 0.0 %弗吉: 0.0 %张家口: 1.2 %张家口: 1.2 %德宏: 0.1 %德宏: 0.1 %惠州: 0.2 %惠州: 0.2 %成都: 0.6 %成都: 0.6 %扬州: 0.4 %扬州: 0.4 %抚州: 0.0 %抚州: 0.0 %无锡: 0.5 %无锡: 0.5 %日照: 0.0 %日照: 0.0 %昆明: 0.4 %昆明: 0.4 %晋城: 0.0 %晋城: 0.0 %曼谷: 0.0 %曼谷: 0.0 %朝阳: 0.0 %朝阳: 0.0 %杭州: 0.6 %杭州: 0.6 %株洲: 0.1 %株洲: 0.1 %桂林: 0.0 %桂林: 0.0 %武汉: 0.2 %武汉: 0.2 %氹仔: 0.0 %氹仔: 0.0 %江门: 0.3 %江门: 0.3 %沈阳: 0.1 %沈阳: 0.1 %洛杉矶: 0.1 %洛杉矶: 0.1 %洛阳: 0.3 %洛阳: 0.3 %济南: 0.1 %济南: 0.1 %济宁: 0.0 %济宁: 0.0 %海西: 0.1 %海西: 0.1 %淄博: 0.0 %淄博: 0.0 %深圳: 0.6 %深圳: 0.6 %温州: 0.3 %温州: 0.3 %湖州: 0.1 %湖州: 0.1 %湛江: 0.0 %湛江: 0.0 %漯河: 1.1 %漯河: 1.1 %澳门: 0.0 %澳门: 0.0 %玉林: 0.0 %玉林: 0.0 %珠海: 0.0 %珠海: 0.0 %盐城: 0.0 %盐城: 0.0 %石家庄: 0.5 %石家庄: 0.5 %福州: 0.1 %福州: 0.1 %绍兴: 0.0 %绍兴: 0.0 %芒廷维尤: 10.0 %芒廷维尤: 10.0 %芜湖: 0.0 %芜湖: 0.0 %芝加哥: 0.5 %芝加哥: 0.5 %苏州: 0.1 %苏州: 0.1 %莆田: 0.1 %莆田: 0.1 %葵涌: 0.1 %葵涌: 0.1 %蒙哥马利: 0.0 %蒙哥马利: 0.0 %衢州: 0.0 %衢州: 0.0 %西宁: 6.9 %西宁: 6.9 %西安: 0.1 %西安: 0.1 %贵阳: 0.0 %贵阳: 0.0 %运城: 0.1 %运城: 0.1 %连云港: 0.1 %连云港: 0.1 %邯郸: 0.3 %邯郸: 0.3 %郑州: 0.5 %郑州: 0.5 %重庆: 0.2 %重庆: 0.2 %长春: 0.0 %长春: 0.0 %长沙: 2.0 %长沙: 2.0 %长治: 0.0 %长治: 0.0 %阿克苏: 0.0 %阿克苏: 0.0 %青岛: 0.7 %青岛: 0.7 %香港: 0.0 %香港: 0.0 %马湾: 0.0 %马湾: 0.0 %马赛: 0.3 %马赛: 0.3 %马鞍山: 0.1 %马鞍山: 0.1 %驻马店: 17.7 %驻马店: 17.7 %黄冈: 0.1 %黄冈: 0.1 %其他其他AbseconBass HillCentral DistrictChinaFalkensteinHerndonMadisonNewarkNormanPoznanSeattle三明上海上饶东莞中卫临沂丽江乌鲁木齐云浮佳木斯保定元朗新墟六安凉山加利福尼亚州北京十堰南京南充南宁南通博尔塔拉博阿努瓦厦门台州合肥吕梁呼和浩特咸阳哥伦布嘉兴埃德蒙顿塔城大连天津威海宁波安那罕官坑宣城宿州密蘇里城巴音郭楞布鲁塞尔常州平顶山广元广州庆阳廊坊延安弗吉张家口德宏惠州成都扬州抚州无锡日照昆明晋城曼谷朝阳杭州株洲桂林武汉氹仔江门沈阳洛杉矶洛阳济南济宁海西淄博深圳温州湖州湛江漯河澳门玉林珠海盐城石家庄福州绍兴芒廷维尤芜湖芝加哥苏州莆田葵涌蒙哥马利衢州西宁西安贵阳运城连云港邯郸郑州重庆长春长沙长治阿克苏青岛香港马湾马赛马鞍山驻马店黄冈

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (4630) PDF downloads(17) Cited by(1)
    Proportional views
    Related

    Copyright © 《昆明医科大学学报》编辑部  滇ICP备00000000号-0

    Publishing: 昆明医科大学学报编辑部

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return