臓がん患者の情報に基づいた意思決定に影響を与える要因: 質的研究
Patrick L Quinn1, Ann Scheck McAlearney1, Jennifer Eramo1
1The Ohio State University Wexner Medical Center, Columbus, OH, USA.
まとめ
臓がん患者は 複雑な治療法により 意思決定に苦労します 意思決定支援は役立つかもしれませんが,情報過剰は患者にとって心配です.
科学分野:
- 腫瘍学
- 忍耐 し て 決定 する
背景:
- 情報に基づいた意思決定は 癌のケアにおける 共同意思決定に不可欠です
- 臓がん (PC) の治療の複雑さは,情報に基づいた意思決定に課題をもたらします.
研究 の 目的:
- 臓がん患者の情報に基づいた意思決定の障壁と促進因子を調査する.
- 患者の理解と意思決定に 意思決定補助器がどう影響するかを理解する.
主な方法:
- 20人の臓がん患者との半構造面接を用いた定性研究
- テーマ的飽和まで意図的なサンプリング;インタビューは統合的アプローチを使用して書き換えられ,分析されました.
主要な成果:
- ほとんどの患者はPC治療の選択肢に関する知識のギャップを報告した.
- 患者は治療のメリット・デメリットを理解し,サポート・緩和ケアに関心を示しました.
- 意思決定支援からの情報過重は一般的であった.
結論:
- 臓がん患者は 情報に基づいた意思決定に 大きな課題に直面しています
- 患者中心の戦略は 意思決定の質を高めるためのさらなる研究が必要です
関連する概念動画
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
Chronic Pancreatitis II: Collaborative Care
128
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
128
Nurses' Legal Responsibilities I
852
In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
The legal responsibilities of a nurse regarding informed consent include the following:
852
Factors Affecting Protein-Drug Binding: Patient-Related Factors
112
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
112
Cancer Survival Analysis
448
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
448
Acute Pancreatitis II: Clinical Manifestations and Management
175
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
175


