目的 探讨决策支持框架理论干预在晚期癌症患者预立医疗照护计划中的应用效果。方法 采用便利抽样法选取某肿瘤医院2023年3-6月收治的晚期癌症患者58例为对照组，2023年7-10月收治的同类患者58例为干预组。对照组采用常规护理方法，干预组在对照组基础上实施决策支持框架理论干预。比较两组患者预立医疗照护计划准备度与决策冲突得分情况。结果 干预组患者预立医疗照护计划准备度总分及各维度得分均高于对照组，决策冲突总分及各维度得分均低于对照组，差异均有统计学意义（均P＜0.05）。结论 基于决策支持框架的预立医疗照护计划干预，能提高患者预立医疗照护计划准备度，降低决策冲突水平，对提高晚期癌症患者具有重要意义。

Objective To Explore the effect of theoretical intervention of decision support framework in advanced care planning for advanced cancer patients.Methods Convenience sampling method was used to select 58 advanced cancer patients admitted to a certain tumor hospital from March to June 2023 as the control group,and 58 patients admitted from July to October 2023 as the intervention group.The control group received routine nursing methods,while the intervention group received theoretical intervention of decision support framework based on the former.The readiness and decision conflict scores of the two groups were compared in pre-established medical care plans.Results The total score and scores in all dimensions of advanced care planning readiness of patients in the intervention group were higher than those in the control group,while the total score and scores in all dimensions of decision conflict were lower than those in the control group,with statistical significance (all P＜0.05).Conclusions The intervention of advanced care planning based on decision support frameworks can improve the preparedness of patients for advanced care planning,reduce the level of decision conflicts,and is of great significance for advanced cancer patients.

R473.73

黑龙江省卫生健康委科研课题(20231414010299)