Analysis of the current status and influencing factors of decision-making conflicts in patients with ischemic cerebrovascular disease undergoing endovascular therapy
10.3969/j.issn.1671-8348.2025.04.024
- VernacularTitle:缺血性脑血管病患者血管内治疗的决策冲突现状及其影响因素分析
- Author:
Can ZHANG
1
;
Min ZHANG
;
Tiantian PENG
;
Caomei LIU
;
Yuping LI
Author Information
1. 南京大学医学院附属鼓楼医院神经内科,南京 210008
- Keywords:
ischemic cerebrovascular disease;
endovascular treatment;
decision-making conflict;
influen-cing factors
- From:
Chongqing Medicine
2025;54(4):926-932
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the current situation and influencing factors of decision making con-flict in the patients with ischemic cerebrovascular disease undergoing endovascular treatment.Methods A to-tal of 143 patients with ischemic cerebrovascular disease who underwent endovascular treatment were sur-veyed by using convenience sampling method from January 2023 to January 2024.The survey adopted tools in-cluded the information survey questionnaire,control preference scale(CPS),decisional conflict scale(DCS),patient participation satisfaction scale for medical decision making and hospital anxiety and depression scale(HADS),current status and influencing factors of decision making conflicts in patients'treatment were ana-lyzed.Results The total score of DCS in the patients with ischemic cerebrovascular disease undergoing endo-vascular treatment was 25.00(14.06,35.94).The correlation analysis results showed that the DCS total score was correlated with the total score of the Patient Participation Satisfaction Scale for Medical Decision Making,information score,decision making score,communication and negotiation score,overall satisfaction and confi-dence score(P＜0.05).The results of multiple linear regression analysis showed that whether knowing the types and distinction of implanted cerebral vascular stents and whether knowing that the stent placement was only a means to reduce the risk of stroke recurrence rather than treating stroke symptoms were the influencing factors of decision making conflict in endovascular treatment of ischemic cerebrovascular disease patients,which could explain 36.5％of total variation.Conclusion The decision making conflict in the patients with is-chemic cerebrovascular disease undergoing endovascular treatment is at a moderate level.Medical staff should adopt the personalized treatment decision making assisted plans based on their influencing factors to inter-vene,so as to reduce the level of decision making conflict,increase the decision making quality and satisfac-tion,and improve the patient outcomes.
