主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (6): 840-845.doi: 10.3969/j.issn.1672-1756.2025.06.008

• 论著 • 上一篇    下一篇

肿瘤患者面对不同中心血管通路装置的决策体验

盛婉婷 杨小惠 李祥云 王洁 周娜 曹秀珠 赵林芳   

  1. 浙江大学医学院附属邵逸夫医院静脉治疗专科,310016 杭州市
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 赵林芳,硕士,主任护师,护士长,E-mail:3193159@zju.edu.cn
  • 作者简介:盛婉婷,硕士

Decision-making experience of cancer patients faced with different Central Vascular Access Devices

SHENG Wanting, YANG Xiaohui, LI Xiangyun, WANG Jie, ZHOU Na, CAO Xiuzhu, ZHAO Linfang   

  1. Department of Intravenous Therapy, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:3193159@zju.edu.cn

摘要: 目的:探究肿瘤患者面对不同中心血管通路装置的决策体验,为构建其临床决策支持方案提供理论依据。方法:采用目的抽样法,选取2023年4月—8月就诊于浙江省某三级甲等综合性医院且已置入中心血管通路装置的16例肿瘤患者为研究对象,行半结构式访谈。通过Nvivo软件整理访谈资料,并采用Colaizzi 7步分析法对资料进行分析。结果:肿瘤患者面对不同中心血管通路装置的决策体验归为3个主题群:①决策需求,包括知识与信息需求、与医护人员沟通需求及决策时间需求等;②决策支持,包括医疗资源支持、家庭与社会支持;③决策结局,包括肿瘤患者主动参与、医护患共同参与和肿瘤患者被动参与。结论:肿瘤患者面对不同中心血管通路装置决策过程中存在多方面的决策需求,且其决策参与程度存在差异,但现有的决策支持存在局限性,故医护人员应有意识地评估肿瘤患者期望参与中心血管通路装置决策的程度,并提供相应的决策支持,以满足其决策需求。

关键词: 中心血管通路装置, 护理决策, 体验, 定性研究, 肿瘤护理

Abstract: Objective: To explore the decision-making experience of cancer patients facing different Central Vascular Access Devices (CVAD), and to provide a theoretical basis for constructing a clinical decision support program. Methods: Using purposive sampling method, 16 cancer patients with CVAD implantation, who attended a tertiary grade A general hospital in Zhejiang province from April to August 2023 were recruited as the study participants. Semi-structured interviews were conducted. The interview data were organized by Nvivo software, and the data were analyzed by Colaizzi 7-step analysis method. Results: The decision-making experience of cancer patients facing different CVAD was grouped into three thematic clusters: ①decision-making needs, including the need for knowledge and information, the need for communication between healthcare professionals and patients, the need for decision time, etc;②decision-making support, including the support of healthcare resources and the support of the family and society; and③decision-making outcomes, including active patient participation, shared patients participation with healthcare professionals, and passive patient participation in the decision-making process. Conclusion: There are multiple decision-making needs during the decision-making of cancer patients with CVAD, and their decision-making participation is individualized, but there are limitations in the existing decision-making support, so healthcare professionals should consciously assess the extent to which cancer patients expect to participate in decision-making about CVAD, and provide corresponding decision-making support to meet their decision-making needs.

Key words: Central Vascular Access Device, nursing decision, experience, qualitative research, oncologic nursing care

中图分类号:  R47;R197