儿科瘤学的预后传播:系统性审查
Estera Boeriu1,2, Alexandra Borda2, Eunice Miclea2
1Department of Pediatrics, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Children (Basel, Switzerland)
|June 28, 2023
概括
儿科瘤学沟通研究主要关注护理人员,忽视了儿童对包容的渴望. 未来的研究应该包括儿童和医生的观点,以提高沟通质量.
科学领域:
- 医学沟通 医学沟通
- 儿科瘤学 儿科瘤学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 在医学上,有效的沟通至关重要,尤其是在讨论高风险预后时.
- 与儿科瘤患者及其家人进行沟通对医生来说是个独特的挑战.
研究的目的:
- 审查和综合现有关于儿科瘤学沟通的研究.
- 识别有关儿童和医生的观点的文献上的差距.
主要方法:
- 按照PRISMA指南,在PubMed,Scopus和Cochrane图书馆 (2017年1月至2022年10月) 进行了系统的文献搜索.
- 提取的数据包括人口统计,诊断,预后,情绪状态,决策角色和护理人员,儿科患者和医生的沟通质量.
主要成果:
- 大多数研究 (17/21) 专注于护理人员,较少检查儿童 (7) 或医生 (5).
- 护理人员报告说,他们对医生有很高的信任,对信息的渴望,以及中度的痛苦. 孩子们经常被排除在讨论之外,尽管他们希望被纳入讨论.
- 医生通常使用口头和统计通信方法的组合.
结论:
- 当前的研究不成比例地强调护理人员的沟通,忽视了儿童的潜在理解和参与的愿望.
- 需要进一步的研究来量化儿科患者和医生在瘤传播中的观点.
- 建议为医疗保健工作者提供专业培训,以提高儿科瘤诊所的沟通质量.
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