患者对临床护理中药基因组测试结果的理解
Tom A Doyle1, Karen K Schmidt1, Colin M E Halverson1
1Indiana University Center for Bioethics, Indianapolis, IN, USA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Patient education and counseling
|August 2, 2023
概括
大多数患者不明白他们的药基因组 (PGx) 测试结果,包括细胞染色体P450 2C19 (CYP2C19) 测试. 需要改善患者与医疗服务提供者的沟通,以更好地理解PGx测试结果.
科学领域:
- 药物基因组学 药物基因组学
- 临床遗传学 临床遗传学
- 患者的理解能力
背景情况:
- 对患者对药物基因组测试结果的理解缺乏客观评估.
- 细胞染色体P450 2C19 (CYP2C19) 药基因组测试在临床实践中越来越多地使用.
研究的目的:
- 评估患者对其CYP2C19药物基因组测试结果的理解程度.
- 识别理解PGx测试结果的障碍.
主要方法:
- 与31名接受CYP2C19测试的患者进行了半结构面试.
- 患者获得了教育材料 (小册子,信件,钱包卡),解释了他们的结果.
- 进行了定量和定性数据分析.
主要成果:
- 没有参与者能够识别测试的基因或其代谢器状态.
- 只有23%的参与者表现出充分理解结果如何影响药物.
- 32%的人回忆起接受过教育材料,但理解能力有限.
结论:
- 大多数患者对其CYP2C19 PGx测试结果缺乏最小的理解.
- 患者无法有效地将他们的PGx结果传达给未来的医疗保健提供者.
- 进一步的研究和改进的患者提供者沟通策略是必不可少的.
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