Purpose: The purpose of this study was to investigate and analyze the level of actual participation and perceived importance of shared decision-making on treatment and care of lung cancer patients, to compare their differences and to explore factors that in uence them.Methods: A total of 290 lung cancer patients were collected from the department of oncology and thoracic surgery of a comprehensive medical center in Qingdao from October 2018 to December 2019. Participants completed a cross-sectional questionnaire to assess their actual participation and perceived importance in shared decision-making on treatment and care.Descriptive analysis and non-parametric tests were carried out to assess the status quo of patients' shared decision-making on treatment and care. Binary logistic regression analysis with a stepwise back-wards was applied to predict the factors that affected patients' participation in shared decision-making.Results: The results showed that patients with lung cancer had a low degree of participation in shared decision-making. There were signi cant differences between actual participation and perceived importance of shared decision-making on treatment and care. Education level, younger, gender, income, marital status, personality, the course of the disease (>6 months), and the Pathological TNM staging ( ) affected the patient's level of participation in shared decision-making.Conclusion: Actual participation in shared decision-making for the treatment and care of lung cancer patients was low and considered unimportant. We could train oncology nurses to use patient decision aids to help patients and families participate in shared decision-making based patients' value, preferences and needs.
Introduction: Both small bowel intussusception in adults and small bowel hemangioma are rare benign mass lesions. Moreover, a secondary effect of intussusception caused by hemangioma is extremely rare. Patient concerns: A 87-year-old female suffered from intussusception and intestinal obstruction caused by hemangioma located in the small bowel (February 14, 2020), reporting abdominal distention without nausea and vomiting. Diagnosis: Emergency abdominal and pelvic computed tomography showed an intussusception with the evidence of associated small bowel obstruction. Histological analysis revealed as small intestinal hemangioma accompanied by mesenteric ulcer. Interventions: The patient underwent segmental resection of intussusception of intestine instead of invalid conservative treatment. Outcomes: Although the postoperative pathological results were inconsistent with preoperative imaging examination, the old woman recovered well. Conclusion: The literature on intussusception of small intestine has described several possible causes including hemangioma, which more likely results in gastrointestinal bleeding or abdominal pain. Yet we experienced a rare case presenting as abdominal distention without nausea and vomiting, Therefore, preoperative diagnosis and localization of these lesions is of great importance. We recommend high resolution contrast-enhanced computed tomography and magnetic resonance imaging should be considered in diagnosis while capsule endoscopy is not available owing to the intestinal obstruction, as long as in facilitating surgical excision.
Purpose: The purpose of this study was to investigate and analyze the level of actual participation and perceived importance of shared decision-making on treatment and care of lung cancer patients, to compare their differences and to explore factors that influence them.Methods: A total of 290 lung cancer patients were collected from the department of oncology and thoracic surgery of a comprehensive medical center in Qingdao from October 2018 to December 2019. Participants completed a cross-sectional questionnaire to assess their actual participation and perceived importance in shared decision-making on treatment and care. Descriptive analysis and non-parametric tests were carried out to assess the status quo of patients' shared decision-making on treatment and care. Binary logistic regression analysis with a stepwise back-wards was applied to predict the factors that affected patients' participation in shared decision-making.Results: The results showed that patients with lung cancer had a low degree of participation in shared decision-making. There were significant differences between actual participation and perceived importance of shared decision-making on treatment and care. Education level, younger, gender, income, marital status, personality, the course of the disease (>6 months), and the Pathological TNM staging (Ⅲ) affected the patient's level of participation in shared decision-making.Conclusion: Actual participation in shared decision-making for the treatment and care of lung cancer patients was low and considered unimportant. We could train oncology nurses to use patient decision aids to help patients and families participate in shared decision-making based patients’ value, preferences and needs.
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