使用患者决策辅助器对癌症治疗决策的经验:定性研究的元聚合
Li-Ting Huang Longcoy1, Asha Mathew, Min Kyeong Jang
1Author Affiliations: College of Nursing, University of Illinois Chicago (Drs Longcoy and Doorenbos); Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Republic of Korea (Dr Jang); College of Nursing, Christian Medical College Vellore, Tamil Nadu, India (Dr Mathew); College of Nursing, Rush University, Chicago, Illinois (Dr Mayahara).
Cancer nursing
|July 11, 2023
概括
患者决策辅助工具 (PtDAs) 通过提高理解和参与,增强癌症治疗决策. 患者重视清晰的信息,支持和参与选择,尽管存在结构性障碍.
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:
- 关于患者决策辅助器 (PtDAs) 对癌症治疗决策的有效性存在不一致的发现.
- 了解患者对PtDA的看法对于优化其使用至关重要.
研究的目的:
- 在癌症治疗决策中对PtDAs的患者体验进行质量综合.
- 确定患者认为重要的PtDAs的关键组成部分.
主要方法:
- 采用了三相元聚合过程,遵循乔安娜·布里格斯研究所的指导方针.
- 在CINAHL,Ovid-MEDLINE,APA PsycINFO和EMBASE中系统地搜索了定性研究.
- 包括专注于癌症成年患者对一线治疗做出决定的研究.
主要成果:
- 16项研究的综合发现揭示了5个关键主题.
- PtDAs改善了对治疗选择,价值观和偏好的理解.
- PtDAs促进了沟通,参与,信息回忆和决策满意度,同时也突出了结构性障碍.
结论:
- 定性证据证实了PtDAs在癌症护理决策中的有用性.
- PtDAs对于提高患者的理解和参与是有价值的.
- 护士在支持患者通过治疗决策方面至关重要,清晰,插图的辅助工具和价值观澄清是有益的.
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