Analysis on influencing factors of treatment decision dilemmas in patients with intracranial aneurysm
10.3969/j.issn.1671-8348.2024.11.012
- VernacularTitle:颅内动脉瘤患者治疗决策困境的影响因素分析
- Author:
Xialan YE
1
;
Haiyan LAI
;
Shaoyong HUANG
;
Xuanhuan WEI
;
Dandan MENG
;
Li YANG
Author Information
1. 广西医科大学第一附属医院 护理部,南宁 530021
- Keywords:
intracranial aneurysm;
decisional dilemma;
anxiety and depression;
social support;
influencing factor
- From:
Chongqing Medicine
2024;53(11):1661-1665
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors of treatment decision dilemma in the pa-tients with intracranial aneurysm.Methods A total of 210 patients with intracranial aneurysms hospitalized in the neurosurgery department of this hospital from January to December 2022 were selected as the research subjects.The questionnaire survey on the patients was conducted by using the general data questionnaire,De-cision Dilemma Scale (DDS),Perceptive Social Support Scale (PSSS) and Hospital Anxiety and Depression Scale (HADS).Results The scores of decisional dilemma,perceived social support,anxiety and depression of the patients with intracranial aneurysm were (38.08±14.05) points,(50.59±3.38) points,(11.12±3.46) points and (9.56±2.11) points respectively.The multiple linear regression analysis showed that the age,fam-ily per capita monthly income,aneurysm diameter,social support and anxiety were the main influencing fac-tors of treatment decision dilemma in the patients with intracranial aneurysm (P<0.05).Conclusion The de-cision-making dilemma in the patients with intracranial aneurysms is in a moderate level.Medical care staff should for-mulate the targeted decision support measures according to the patient' s age,economic status,aneurysm size,patient's social support and anxiety situation to help the patients to improve their decision-making level.