노인 암 환자에서 공유의사결정 인식정도와 수술의사결정 갈등 요인

• 제어번호 : 100272886
• 저자명 : 윤영신 , 김명희 , 박정하
• 학술지명 : 노인간호학회지
• 권호사항 : Vol.16 No.3 [2014]
• 발행처 : 노인간호학회
• 발행처 URL : http://www.gnursing.or.kr/
• 자료유형 : 학술저널
• 수록면 : 266-275(10쪽)
• 언어 : Korean
• 발행년도 : 2014년
• 등재정보 : KCI등재
• 주제어 : Aged , Cancer , Conflict , Decision-making

초록 (Abstract)

Purpose: The purpose of this study was to identify shared decision-making between surgeons-patients (SDM S-P) and family-patients (SDM F-P), and to analyze predictive factors for decision-making conflict in surgery for elderly patients with cancer. Methods: Participants were 109 elderly patients with cancer who were scheduled for surgery and did not have any other medical treatment. Data were collected through face to face interviews from November 15, 2012 to January 30, 2013 using the Shared Decision Making-9 questionnaire (SDM-Q-9) and Decisional Conflict Scale (DCS). Data were analyzed using descriptive statistics, t-test, one-way ANOVA and stepwise multiple regression with the IBM SPSS Statistics 19. Results: Mean score for SDM S-P was 18.87 points which was very low, but significantly high compared to the score for SDM F-P. Mean score for decision-making conflict was 18.66 points which was also very low. SDM S-P was the strongest favorable factor in decision-making conflict related to surgery. Decision by family for surgery was the most negative factor. Conclusion: In order to reduce decision-making conflict of patient for surgery, medical teams have to increase SDM S-P and let elderly patients with cancer make their own choices for surgery.