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目的通过系统的比较了解患者及家属共同决策与患者授权家属全权参与手术决策的不同,了解患者参与手术决策的重要性。方法选择61例患者家属全权代表者为观察组,另选61例同期患者及家属共同决策者作为对照组,比较两组患者采取的手术方式情况。结果观察组31例给予保乳术,对照组48例给予保乳术。两组患者保乳例数比较,差异有统计学意义(χ~2=10.379,P=0.001<0.05)。中学及以下学历患者59例给予保乳术,大学学历患者20例给予保乳术。两种手术决策者的文化程度与手术方式比较,差异无统计学意义(χ~2=0729,P=0.394>0.05)。结论患者及家属共同决策有更高的保乳例数,与医生达成一致病例数较多,医患沟通中一致性较高。
Objective To understand the difference between patients’ and their families’ common decision-making and patients’ authorized participation in surgery decision-making through systematic comparison, so as to understand the importance of patient’s participation in surgery decision-making. Methods Sixty-one patients were selected as the observation group and the other 61 patients with the same family as the co-decision makers were selected as the control group. The surgical methods of the two groups were compared. Results 31 cases in the observation group were given conservative surgery, and 48 cases in the control group were given conservative surgery. There were statistically significant differences between the two groups (χ ~ 2 = 10.379, P = 0.001 <0.05). 59 cases of secondary and secondary education were given breast-conserving surgery, 20 college-degree patients with breast-conserving surgery. There was no significant difference in the educational level between the two surgical decision-makers and the surgical method (χ ~ 2 = 0729, P = 0.394> 0.05). Conclusion Patients and their relatives have a higher number of breast-conserving cases, a higher number of cases agreed with doctors and a higher coherence between doctors and patients.