中国临床心理学杂志

不确定性容忍度、决策者角色对医疗决策的影响

作者：黄仁辉刘雁伶罗小凤严蔷薇李洁

单位：1. 宜春学院宜春 336000 2. 江西科技师范大学教育学院南昌 330013 3. 江西师范大学心理学院南昌 330022

分类号：R395.1

出版年,卷(期):页码：2017,25(3):426-429

摘要：

目的：考察医疗情景中不确定性容忍度和决策者角色对医疗决策的影响。方法：采用2（不确定性容忍度：高/低）×2（决策者角色：自我/他人）被试间实验设计，239名临床专业大学生被分为两组完成医疗决策任务。结果：不确定性容忍度对医疗决策影响边缘显著，高容忍度者比低容忍度者更倾向手术方案。决策者角色对医疗决策影响显著，与给他人建议相比，自我决策时更倾向手术方案。为自我决策时高容忍度者比低容忍度者更倾向手术方案，给他人建议时两者选择无显著差异；高容忍度者为自我决策比给他人建议更倾向手术方案，而低容忍度者自我-他人决策差异不显著。结论：不确定性容忍度和决策者角色对医疗决策存在交互影响。

Objective: To probe into the influences of tolerance of uncertainty(TU) and the decision makers' roles on medical decision making. Methods: 239 clinical undergraduates were divided into two groups according to their scores from the intolerance of uncertainty scale, as groups with high and low TU levels in accordance with the high-low-27-percent group method. Participants were assigned to two groups and investigated with questionnaire of medical decision making problem which were described in self-other form. Results: Participants with higher TU were more willing to choose operation option of long-term benefit than participants with lower TU when making for themselves. At the same time, participants with higher TU showed greater self-other differences in comparison to participants with lower TU. Participants with higher TU made more risk decisions for themselves than for others, but this defference was not significant in participants with lower TU. Conclusion: The findings suggest that tolerance of uncertainty and the decision makers' roles interactively influence the medical decision making.

基金项目：

江西省社会科学“十二五”规划项目（15JY03）

作者简介：

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