Journal of Tissue Engineering and Reconstructive Surgery ›› 2024, Vol. 20 ›› Issue (6): 687-.

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Evaluation of the effect of constructing a decision aid program for breast reconstruction patients based on option grid theory

  

  • Online:2024-12-02 Published:2025-01-03

Abstract:

Objective To construct decision aid program for breast reconstruction patients by option grid theory and evaluate its clinical application. Methods Based on the reference of Ottawa decision support Framework, experts in related fields demonstrated and constructed the basic plan of patient decision assistance through literature search. According to the inclusion criteria, patients who received breast reconstruction surgery after breast cancer surgery from January to December 2023 were selected. Patients admitted from January to June were selected as the control group, and those admitted from July to December were selected as the test group. Before the start of the study, the researcher explained the research purpose, method and possible results to the study subjects. After obtaining the consent of the patients, the researchers filled in the informed consent form, the general situation questionnaire and the decision dilemma scale. The control group adopted the conventional nursing method, and the experimental group added the option grid decision aid on the basis of the conventional nursing to help the patients with decision aid. Three months and one year after surgery, patients were given the decision dilemma scale and the postoperative module of BREAST-Q quantity. Results The total score and three dimension scores of decision dilemma of the experimental group at 3 months and 1 year after surgery were significantly lower than those of the control group (P<0.05). The postoperative module scores of the patients' BREAST-Q showed that 3 months and 1 year after surgery, the scores of the experimental group were significantly higher than those of the control group in terms of social and psychological health, physical health, sexual health, breast satisfaction, doctor satisfaction, information satisfaction and medical team satisfaction (P<0.05). Conclusion The decision assistance scheme for patients undergoing breast reconstructive surgery based on option grid theory can effectively alleviate the decision-making dilemma of patients, improve the health-related quality of life and patient satisfaction.

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