癌臨床試験の意思決定における家族介護者の役割の範囲レビュー
Eric C Blackstone1, Barbara J Daly2, Mark P Aulisio1,3,4
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Clinical trials (London, England)
|September 4, 2025
まとめ
癌臨床試験の決定への介護者の関与は十分に研究されていない. このレビューでは 患者の支援と 個人的な負担の管理の役割を強調し 臨床試験の議論に より多くの参加が必要であることを強調しています
科学分野:
- 腫瘍学
- 臨床試験
- 医療サービス研究
背景:
- 癌の臨床試験は 治療の選択肢を進める上で 極めて重要です
- 臨床試験の意思決定に関する患者と腫瘍学者の見解は 十分に文書化されています
- 癌臨床試験の参加における介護者の役割と展望は まだ十分に研究されていない.
研究 の 目的:
- 癌の臨床試験への参加における介護者の役割に関する経験的研究を概要的に検討する.
- 既存の文献から介護者の役割,意思決定の側面,および勧告を特定する.
主な方法:
- 2024年1月まで出版された経験的文献のスコープレビュー.
- PubMedとEmbaseのデータベースで検索したものです.
- 意思決定の側面,介護者の役割,および勧告について評価された記事
主要な成果:
- 意識,参加意欲,意思決定経験に重点を置いた23の記事が含まれています.
- 介護者の役割は 患者の自律性,臨床医のコミュニケーション,参加の負担の管理を含みます.
- 介護者を議論に含め,負担を軽減し,関係自律性に関するさらなる研究を推奨した.
結論:
- 癌臨床試験の参加における介護者の役割に関する経験的研究は限られている.
- 介護者は 患者のサポートと 個人的な幸福のバランスをとるという課題に直面します
- 介護者がこれらの課題を把握し,同意プロセスを最適化するためにさらなる研究が必要です.
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