Effectiveness of a shared decision-making intervention with nurses as "decision coaches" in the perioperative period for bladder cancer patients
10.3760/cma.j.cn115682-20240731-04278
- VernacularTitle:以护士为"决策教练"的共享决策干预在膀胱癌患者围手术期中的应用
- Author:
Jing GUO
1
;
Xinli WANG
;
Xiaoxia FANG
;
Zhong JING
;
Shengjie REN
Author Information
1. 新乡市中心医院 新乡医学院第四临床学院泌尿外科一，新乡 453000
- Publication Type:Journal Article
- Keywords:
Urinary bladder neoplasms;
Nurses;
Shared decision-making;
Decision coach;
Decision management;
Preoperative period
- From:
Chinese Journal of Modern Nursing
2025;31(10):1346-1351
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of shared decision-making intervention with nurses as "decision coaches" in perioperative decision management of bladder cancer patients.Methods:From March 2023 to February 2024, 152 bladder cancer patients in the Department of Urology Surgery of Xinxiang Central Hospital for surgical treatment were selected by convenience sampling. The patients were divided into control group and observation group of 76 cases each using the randomized numerical table method. Control group implemented conventional bladder cancer surgical decision management, and observation group implemented a shared decision-making intervention with nurses as "decision coaches" on this basis, and the intervention period was one week before surgery. Decisional Conflict Scale (DCS), Preparation Decision Making (PrepDM), Patients Satisfaction with Participation in Medical Decision-making Scale, and Decision Regret Scale (DRS) scores were compared between the two groups of patients before and after intervention.Results:Finally 74 patients in control group and 75 patients in observation group completed the study. After the intervention, the DCS scores of observation group were lower than those of control group and before the intervention, and the differences were statistically significant (all P<0.05). After the intervention, the PrepDM scores of observation group were higher than those of control group and before the intervention, and the differences were statistically significant (all P<0.05). One week after surgery, observation group had higher decision-making participation satisfaction scores and lower DRS scores than control group, and the differences were statistically significant (all P<0.05) . Conclusions:Preoperative shared decision-making interventions with nurses as "decision coaches" in bladder cancer patients can effectively reduce preoperative decision conflicts, increase preoperative decision readiness and participation satisfaction with decision-making, and decrease patients' postoperative decision regret.
