治療決定のための子供と青年のがんコミュニケーションの好み:メタシンセシス
Kimberly A Pyke-Grimm1,2, Katherine Patterson Kelly3,4, Ginny L Schulz5
1Department of Nursing Research and Evidence-Based Practice, Center for Professional Excellence and Inquiry, Stanford Medicine Children's Health, Palo Alto, California, USA.
Pediatric blood & cancer
|August 26, 2025
まとめ
子どもや青年は 癌治療の意思決定に 積極的に参加したいのです この研究は,コミュニケーションを改善するために,治療の意思決定 (TDM) に関する彼らの好みをまとめています.
科学分野:
- 小児腫瘍学
- 健康に関する情報
- 定性的な研究
背景:
- 子供と青少年 (18歳未満) は,がん治療に関するコミュニケーションの好みが異なる.
- これらの好みを理解することは 患者中心のケアに不可欠です
- この研究は,がん治療の意思決定 (TDM) に関する彼らの関与に焦点を当てています.
研究 の 目的:
- 癌治療のコミュニケーションへの関与に関する子供と青年の好みに関する定性的な発見を統合する.
- TDMへの関わりについて 若いがん患者の意見を述べる
主な方法:
- メタアグレゲーションの方法を用いた体系的な文献検索が行われました.
- 含まれた研究は,定性または混合的な方法を使用して,小児がんを患った18歳未満の参加者を対象とした.
- 発見は,子供や若者の自己報告した好みに限定された.
主要な成果:
- 特定された3213件のうち55件が含まれており,39件の研究からTDMの好みに関する156件の調査結果が得られました.
- "どのように参加するか""何時参加しないか""なぜ参加するのか"という3つの結論が出ました.
- 意思決定における積極的な役割から受動的な役割まで,好みは様々でした.
結論:
- このメタシンセシスは,どのように,いつ,そしてなぜ子供と青少年がTDMに関与することを望むかを明らかにします.
- 患者さんの声は 参加の好みも様々です
- 推奨事項は,これらのコミュニケーションの好みに合わせた証拠に基づいた実践に焦点を当てています.
キーワード:
子どものがん 治療の意思決定
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