影响乳腺癌护理共享决策实施的因素:混合方法研究协议
Paulina Bravo1,2, Angelina Dois3, Luis Villarroel4
1School of Nursing, Pontifical Catholic University of Chile, Santiago, Chile pbbravo@uc.cl.
BMJ open
|July 20, 2023
概括
这项研究探讨了智利患者参与乳腺癌治疗决策的情况. 研究结果将为加强患者参与和改善乳腺癌妇女生活质量的策略提供信息.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 智利的目标是使患者积极参与医疗保健,但临床应用尚不清楚.
- 乳腺癌 (BC) 是智利妇女癌症死亡的主要原因,治疗决策至关重要.
- 了解患者参与对于改善护理质量和结果至关重要.
研究的目的:
- 确定影响患者积极参与乳腺癌治疗决策的因素.
- 探索医疗保健专业人员和患有乳腺癌的妇女的观点和实践.
- 评估患者参与对生活质量和医疗保健满意度的影响.
主要方法:
- 混合方法融合并行设计,结合定性 (观察,采访,文档分析) 和定量 (跨截面调查) 方法.
- 定性阶段:观察瘤板,采访关键信息者和患有BC的妇女,观察临床接触.
- 定量阶段:对445名患有BC的妇女进行调查 (I-III阶段),测量参与,决策冲突,生活质量 (QoL) 和满意度. 分析包括描述性统计和多变量物流回归.
主要成果:
- 该研究旨在确定影响患者参与BC治疗决策的关键因素.
- 它将提供对患者和医疗保健提供者的体验的见解.
- 结果将量化参与水平与患者结果 (如QoL和满意度) 之间的关系.
结论:
- 这些发现将揭示患者参与乳腺癌临床决策的复杂性.
- 这项研究将为政策和实践提供信息,以促进患者更有效地参与癌症护理.
- 传播包括科学出版物,会议和面向公众的网站,以确保广泛的影响.
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