지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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 multipleregression 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.
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참고문헌 (28)
참고문헌 신청
서원식 / 2010 / 의사와 환자 간 공유된 진료의사결정이 환자만족도에 미치는 영향 / 예방의학회지 43(1):26~34
Yun, Y. H. / 2004 / The attitudes of cancer patients and their families toward the disclosure of terminal illness / Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology 22(2):307~314
Beak, S. K. / 2009 / The impact of patients' perception of disease status on the change of decisional conflict and quality of life / 박사 / Kyung Hee University
Charles, C. / 1997 / Shared decisionmaking in the medical encounter : What dose it mean?(Or it takes at least two to tango) / Social Science & Medicine 44 (5) : 681 ~ 692
Crawford, M. J. / 2002 / Systematic review of involving patients in the planning and development of health care / BMJ: British Medical Journal 325 (7375) : 1263 ~
Yun, Y. H. / 2004 / The attitudes of cancer patients and their families toward the disclosure of terminal illness / Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology 22(2):307~314
Beak, S. K. / 2009 / The impact of patients' perception of disease status on the change of decisional conflict and quality of life / 박사 / Kyung Hee University
Charles, C. / 1997 / Shared decisionmaking in the medical encounter : What dose it mean?(Or it takes at least two to tango) / Social Science & Medicine 44 (5) : 681 ~ 692
Crawford, M. J. / 2002 / Systematic review of involving patients in the planning and development of health care / BMJ: British Medical Journal 325 (7375) : 1263 ~
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