Laryngeal carcinoma as the initial lesion in patients with multiple primary cancers: a clinical analysis of diagnosis and treatment

Li, Li; Zhao, Song; Lang, Jing Yu; Fan, Jian‐Gao; Sun, Ai-Hua

doi:10.3724/sp.j.1008.2010.00861

Cited by 1 publication

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cognitive impairment caused by stroke and the shock of the event increase anxiety in patients and their families [19] . Increasing trust in physicians will reduce decision burden and regret [21], contributing to improved decision quality.…”

Section: Implications For Nursing Policy and Health Policymentioning

confidence: 99%

See 1 more Smart Citation

Characteristic Clustering of Thrombolytic Agent Decision-making in Acute Ischemic Stroke and Analysis of Influencing Factors

Fan,

Ma,

Yang

et al. 2024

Preprint

View full text Add to dashboard Cite

Aim To explore the categories of different decision-making psychological characteristics of thrombolysis proxy decision-makers in acute ischemic stroke and analyze the influencing factors of different categories. Background Thrombolysis proxy decision-makers suffered from decision-making dilemmas, which correlated with their multiple psychosocial factors.Identifying the psychological characteristics of different decision-makers may help healthcare professionals develop decision-support programs applicable to different categories of decision-makers. This is essential for improving decision-making efficiency, reducing dilemmas, and decreasing hospital delays. Methods To facilitate the selection of acute ischemic stroke patients and their proxy decision makers who attended the emergency department of a comprehensive tertiary hospital in Zhengzhou City, Henan Province, from April 2023 to December 2023 as the survey subjects, and to collect the survey subjects' general information questionnaire, perceived social support scale, state anxiety scale, and decision-making dilemma scale. The final clustering was completed using K-means cluster analysis, and the influencing factors were analyzed by unordered multiclassified logistic regression. Results Acute ischemic stroke thrombolysis proxy decision makers can be divided into "high social support-low anxiety-high trust-decision effective", "high social support-high anxiety-moderate trust-decision conflict", "high social support-high anxiety-low trust-decision delay" three categories, which were influenced by the decision maker's gender, number of decision makers, decision maker's literacy level, whether they lived with the patient, whether they were the patient's main financial source, the patient's age, NIHSS score, and the time of the onset of the disease. Conclusion There are differences in the decision-making psychological characteristics of different thrombolysis agent decision-makers, and healthcare professionals should provide personalized decision-making aids for their psychological characteristics to improve the efficiency of thrombolysis decision-making, and strive for valuable time to save patients' neurological function. Implications for nursing policy and health policy Cluster analysis can be used to classify thrombolytic agent decision makers into three categories based on psychological characteristics and decision-making challenges. This is the first step in developing targeted decision aids for thrombolytic agent decision makers in the future.

show abstract

Section: Implications For Nursing Policy and Health Policymentioning

confidence: 99%

“…The level of decision dilemma in thrombolysis decision-making by proxy decision-makers was assessed using the Decision Dilemma Scale [21] . The scale consists of 5 dimensions and 16 entries on information, values, decision support, decision effectiveness, and decision certainty.…”

Section: Decision Dilemma Scalementioning

confidence: 99%