在中国,晚期癌症患者参与共享决策的现状:一项混合研究
Shanshan Huang1, Hongchao Wang1,2, Xianghua Xu3
1Nursing Teaching and Research Section, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
概括
中国的晚期癌症患者希望共享决策 (SDM),但面临障碍. 年龄和家庭等因素会影响患者参与治疗决策.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 共享决策 (SDM) 对晚期癌症患者至关重要.
- 在实践中,患者参与临床决策往往被忽视.
研究的目的:
- 分析中国晚期癌症患者中SDM的现状.
- 为了确定影响SDM的因素在这个人群中.
主要方法:
- 在513名晚期癌症患者的横截面调查中,使用了控制偏好量表 (CPS) 和感知参与护理量表 (PICS).
- 基于太华决策支持框架 (ODSF) 对17名患者进行定性采访,以探索对SDM的看法.
主要成果:
- 影响SDM的重要因素包括年龄,保险状况和对治疗效果的担忧.
- 定性发现显示了决策的动态转变,信息获取,参与障碍和家庭角色对SDM的影响.
结论:
- 在中国,晚期癌症患者的SDM的特点是共享和可变性.
- 家庭成员对SDM有很大的影响,反映了文化规范.
- 临床实践应解决动态患者参与和家庭在决策中的作用.
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