LARCとLRRCにおける治療に関する意思決定の検討: 定性的な研究
Anwen Williams1, Claire O'Neill2, Hayley Hutchings2
1Swansea University Medical School, Institute of Life Science 2, Swansea, UK; Department of Colorectal Surgery, Swansea Bay University Health Board, Singleton Hospital, Swansea, UK.
まとめ
患者の優先順位と 臨床医の優先順位は直腸がん手術の決定において異なります これらの違いを理解することは 手術前カウンセリングと 患者支援サービスの改善の鍵です
科学分野:
- 腫瘍学
- 手術腫瘍学
- 患者 を 中心 に する 治療
背景:
- 患者の関与により 結腸癌の意思決定が進化しました
- 臓がんの骨盤埋葬 (PE) の意思決定の複雑さについては,理解は限られている.
- この研究は,PEの意思決定における患者と臨床医の視点を探求する必要性を取り上げています.
研究 の 目的:
- 患者と医療従事者 (HCP) が,直腸がんにおける骨盤外腔手術 (PE) の意思決定過程において重要な要因について認識する.
- 治療決定における患者と医療従事者の優先順位の不一致を特定する.
- 手術前カウンセリングとサポートサービスの改善を図る
主な方法:
- 前向きで横断的な質的研究設計
- イギリスの5つのセンターで患者と医療従事者との深遠な仮想電話インタビュー (2020年1月〜10月).
- NVIVO 12を用いたインタビューの内容分析
主要な成果:
- 33人のインタビュー (25人の患者,8人の医療従事者) を分析した.
- コミュニケーション,回復,心理的影響,人間関係,ライフスタイル,サポートといった 6つのテーマが挙げられました.
- 医療従事者は治療の期待,回復,心理的影響を優先し 患者の優先順位はより広いものでした
結論:
- 患者と医療従事者の優先順位は PEの意思決定過程で大きく異なる.
- 患者の個別のニーズに対応した 手術前カウンセリングの必要性を強調しています
- 標準化された専用サービスは,患者の情報ニーズを満たすために全英国で推奨されています.
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