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目的:探讨决策板在子宫肌瘤住院患者中应用的临床意义。方法:作者设计了一种工具,称为“决策板”,通过它向子宫肌瘤住院患者传递相关的医学信息,然后由医生和患者共同商议后再选择术式。采用前瞻性研究方法随机将140例绝经前的子宫肌瘤住院患者分为两组,研究组进行决策板管理,对照组进行常规术前谈话,比较出院时两组患者的满意度及所采取的4种术式的比率。结果:研究组90%的患者认为决策板易理解,96%的患者认为此项措施有助于手术方案的选择,患者满意度调查结果为:非常不满意、不满意、一般、满意、非常满意分别占1.43%(1/70)、2.86%(2/70)、28.57%(20/70)、47.14%(33/70)、20.00%(14/70);对照组患者满意度调查结果为:非常不满意、不满意、一般、满意、非常满意分别占1.43%(1/70)、8.57%(6/70)、47.14%(33/70)、35.71%(25/70)、7.14%(5/70)。两组差异有显著性(P<0.05)。研究组中选择全子宫切除术、次全子宫切除术、子宫肌瘤挖除术、腹腔镜筋膜内子宫切除术的比率分别为:64.3%、8.6%、21.4%、5.7%;对照组中选择全子宫切除术、次全子宫切除术、子宫肌瘤挖除术、腹腔镜筋膜内子宫切除术分别为:81.4%、4.3%、10.0%、4.3%。两组差异无显著性(P>0.05)。结论:将决?
Objective: To explore the clinical significance of the application of decision board in hospitalized patients with uterine fibroids. METHODS: The authors devised a tool, called a “decision board,” through which medical information is transmitted to inpatients with uterine fibroids and then negotiated by physicians and patients before opting for surgery. A prospective study was conducted to randomly divide 140 premenopausal women with uterine leiomyoma into two groups. The study group was managed by a decision-making board, and the control group was given routine preoperative conversations. The satisfaction of the two groups of patients at the time of discharge and the 4 kinds of surgical ratio. RESULTS: Ninety percent of the patients in the study group felt that the decision board was easy to understand. Ninety-six percent thought the measure would be helpful for the selection of surgical options. The results of the patient satisfaction survey were: Very dissatisfied, dissatisfied, general, satisfied, very satisfied Accounting for 1.43% (1/70), 2.86% (2/70), 28.57% (20/70), 47.14% (33/70) and 20.00% (14/70) respectively. The control group patients’ satisfaction survey results were : Very dissatisfied, dissatisfied, general, satisfied, highly satisfied accounted for 1.43% (1/70), 8.57% (6/70), 47.14% (33/70), 35.71% (25/70), 7.14% (5/70). The difference between the two groups was significant (P <0.05). In the study group, the rates of hysterectomy, subtotal hysterectomy, uterine myoma excision and laparoscopic hysterectomy were 64.3%, 8.6%, 21.4% and 5.7% respectively. In the control group Select hysterectomy, subtotal hysterectomy, uterine fibroids, laparoscopic intrafascial hysterectomy were: 81.4%, 4.3%, 10.0%, 4.3%. There was no significant difference between the two groups (P> 0.05). Conclusion: Will be resolved?