五个欧洲国家外科手术患者的自主决定权
Self-determination in surgical patients in five European countries.
作者信息
Välimäki Maritta, Leino-Kilpi Helena, Grönroos Matti, Dassen Theo, Gasull Maria, Lemonidou Chryssoula, Scott P Anne, Arndt Marianne Benedicta
机构信息
University of Turku, Department of Nursing Science, 20014 Turku, Finland.
出版信息
J Nurs Scholarsh. 2004;36(4):305-11. doi: 10.1111/j.1547-5069.2004.04056.x.
OBJECTIVE
To analyze the effects of informational support, desire for behavioral involvement in health decision-making (behavioral involvement), opportunities to make decisions, and independence on subjective health status in surgical patients. A theoretical model of self-determination was applied and tested.
METHODS
The data were collected by structured questionnaires with a sample of 1,454 surgical patients in five European countries. LISREL analyses were used to test the theoretical causal model of self-determination.
RESULTS
Patients' perceptions of informational support received from nursing professionals and their desired involvement in health decision-making affected patients' opportunities to make decisions and further their independence level, which in turn affected patients' subjective health status.
CONCLUSIONS
Understanding of factors that increase self-determination in patients can help health care professionals to promote patients' well-being.
目的
分析信息支持、参与健康决策的行为意愿（行为参与度）、决策机会以及自主性对手术患者主观健康状况的影响。应用并检验了自我决定理论模型。
方法
通过结构化问卷对五个欧洲国家的1454名手术患者进行抽样调查收集数据。使用LISREL分析来检验自我决定的理论因果模型。
结果
患者对从护理专业人员那里获得的信息支持的感知以及他们对参与健康决策的期望，影响了患者的决策机会，进而影响了他们的自主水平，而这反过来又影响了患者的主观健康状况。
结论
了解增加患者自我决定能力的因素有助于医护人员促进患者的健康。
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