The status quo of preoperative decisional conflict and its influencing factors in patients with traumatic amputation
10.3760/cma.j.cn115682-20231219-02675
- VernacularTitle:创伤性截肢患者术前决策冲突现状及影响因素分析
- Author:
Xinxin ZHANG
1
;
Guojie HAN
;
Qian CHEN
;
Yiwen WANG
;
Xijuan LI
;
Yuxia CHAI
Author Information
1. 郑州大学第一附属医院急诊医学科，郑州 450052
- Publication Type:Journal Article
- Keywords:
Trauma;
Amputation surgery;
Control preference;
Decisional conflict;
Social support;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2024;30(35):4849-4855
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of preoperative decisional conflict in patients with traumatic amputation, analyze its influencing factors, and provide a reference for the development of targeted decision-making support programs.Methods:Totally 189 patients with traumatic amputation hospitalized in the Emergency Department of the First Affiliated Hospital of Zhengzhou University from January 2022 to October 2023 were selected by convenience sampling. Data were collected using a sociodemographic questionnaire, the Chinese version of the Decision Conflict Scale (DCS), the Control Preference Scale (CPS), and the Perceived Social Support Scale (PSSS). Data analysis was performed using SPSS 25.0.Results:A total of 196 questionnaires were distributed, with 189 valid responses, yielding an effective response rate of 96.4%. The average preoperative decisional conflict score among the 189 patients was (44.32 ± 9.27). During the decision-making process, 69 patients (36.5%) preferred a shared decision-making model, but 100 patients (52.9%) experienced a passive role. Multiple stepwise regression analysis indicated that the primary factors influencing decisional conflict were age, educational level, occupation, family income, actual participation role, family support (adjusted R2=0.799, P<0.01) . Conclusions:There is a discrepancy between the expected and actual participation roles in the decision-making process among patients with traumatic amputation, leading to a high level of preoperative decisional conflict. Several factors contribute to this conflict. Healthcare providers should pay particular attention to peasants, older patients, those with lower education and family income, respect patients' control preferences, and provide appropriate decision-making support.
