School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Graduate Institute of Information Management, National Taipei University, New Taipei City, Taiwan.
Patient Educ Couns. 2022 Sep;105(9):2984-2994. doi: 10.1016/j.pec.2022.05.016. Epub 2022 May 30.
To evaluate the effectiveness of a question prompt list (QPL) in decision self-efficacy, decision-making participation, patient-physician communication, decisional conflict or regret, and health status in patients with breast cancer.
A total of 240 patients with breast cancer were randomly assigned to a QPL group or control group (n = 120 each). The intervention and control groups received an additional educational QPL booklet and routine care, respectively.
The intervention group exhibited significant improvements in decision self-efficacy, perceived patient-physician interactions, and patient-physician communication compared with the control group. Multilevel modeling analyses revealed significant group-time interaction effects on decision self-efficacy (β = 9.99, P < 0.01), perceived patient-physician interactions (β = 8.10, P < 0.01), patient-physician communication (β = 5.02, P < 0.01), and anxiety status (β = -3.78, P < 0.05). The QPL intervention exerted more favorable effects than routine care, with repeated measurements of the same patients and the data of patients under the care of the same surgeons accounted for.
The QPL intervention exerted multidimensional effects on decision-making outcomes among patients with breast cancer.
Clinicians can integrate a QPL into routine care for patients with breast cancer.
评估问题提示清单（QPL）在乳腺癌患者决策自我效能感、决策参与、医患沟通、决策冲突或后悔以及健康状况方面的有效性。
将 240 名乳腺癌患者随机分为 QPL 组和对照组（每组 120 名）。干预组和对照组分别接受了额外的教育 QPL 小册子和常规护理。
与对照组相比，干预组在决策自我效能感、感知医患互动和医患沟通方面均有显著改善。多层次模型分析显示，决策自我效能感（β=9.99，P<0.01）、感知医患互动（β=8.10，P<0.01）、医患沟通（β=5.02，P<0.01）和焦虑状况（β=-3.78，P<0.05）存在显著的组-时间交互效应。与常规护理相比，QPL 干预具有更有利的效果，考虑了同一患者的重复测量和同一外科医生护理下的患者数据。
QPL 干预对乳腺癌患者的决策结果产生了多维影响。
临床医生可以将 QPL 纳入乳腺癌患者的常规护理中。
