Objective To explore the patients satisfaction with participation in medical and nursing decision making and the influencing factors among cancer patients, and to provide a basis for developing better medical care services. Methods Totally 159 cancer patients were recruited from Beijing Cancer Hospital, and then were investigated with the general information questionnaire, the patients′ expectation for participation in clinical decision making scale, the patients′ competence for participation in clinical decision making scale, and the patients′satisfaction with participation in medical and nursing decision making questionnaires. Results The total score of patients′satisfaction with participation in medical and nursing decision making were (45.92±3.91) and (34.25±3.31) respectively. Compared with female patients, male patients had higher satisfaction with medical decision making (46.45±3.24&44.87±4.84) and nursing decision making (34.68 ± 2.93&33.42 ± 3.84) (t=2.416, P=0.017;t=2.275, P=0.024);and compared with melanoma patients, lung cancer patients had higher satisfaction with medical decision making (46.51 ± 2.69&43.33 ± 7.07, P=0.002);compared withⅢstage patients, Ⅳstage patients had higher satisfaction with nursing decision making(34.97±2.24&32.40±4.56, P<0.01). Meanwhile, the satisfaction with participation in decision making was significantly positively associated with patients′ expectation and competence for participation in clinical decision making. Conclusions Patients′satisfaction for decision making may vary from different gender, tumor types, disease stages, and patients′expectation and competence. Health care providers still further strength patients′ knowledge and initiative of decision making, and then improve patients′satisfaction with participation in decision making.

Objective To explore the expectation for participation in medical decision making among advanced cancer patients,and to provide reference for developing better medical care services.Methods Totally 200 advanced cancer patients were investigated using patients' expectation for participation in medical decision making scale.Results The total score of expectation for participation in medical decision making for the patients was (34.74 ± 3.03),and the item mean scores for the dimension of information need,communication need and decision making need were (2.87±0.32),(2.88±0.24) and (2.21±0.53) respectively.Compared with female patients,male patients had higher expectation for information need (P＜0.05);and compared with the patients aged 66 or older,patients aged 18 to 50 and 51 to 65 had higher total score and the dimension score of information need (P＜0.01 for all).Conclusion Advanced cancer patients have high need of information and communication,but have relatively low need of decision making.The patients with different gender and age have different expectation for participation in medical decision making.In actual clinical working,medical staff should pay attention to patients' expectation for participation in medical decision making,and meet their needs on disease and treatment according to their expectation,then promote their enthusiasm on participation in decision making,and increase their treatment compliance and satisfaction ultimately.

<正>肿瘤是威胁人类生命的最严重疾病之一。目前肿瘤患者的照顾任务多由其家属承担。Baider等调查发现肿瘤患者家属所承受的心理压力较患者笔者重。已有研究报道,照顾者的社会心理疾病发生率等于或大于肿瘤患者。医护人员需要关注肿