癌症患者对事先护理计划的期望:定性访谈的类型内容分析
Anna J Pedrosa1,2, Lara Demel1, Jorge Riera Knorrenschild3
1Research Group Medical Ethics, Philipps-University Marburg, Marburg, Germany.
Psycho-oncology
|October 31, 2023
概括
了解癌症患者对预先护理计划 (ACP) 的期望对于改善参与至关重要. 解决错误信息和将ACP重新定义为家庭干预可以提高接受度和结果.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 提前护理计划 (ACP) 通过引出癌症患者的偏好,促进以个人为中心的医疗决策.
- 患者的期望显著影响了关于ACP的决策过程.
- 对于癌症患者的具体期望,导致ACP接受或拒绝的理解有限.
研究的目的:
- 探索癌症患者对预先护理计划 (ACP) 的期望.
- 确定影响癌症患者接受或拒绝ACP计划的因素.
主要方法:
- 与27名癌症患者 (同意或拒绝ACP计划) 进行了半结构化采访.
- 采用了一个有目的的抽样策略.
- 数据分析使用类型学内容分析.
主要成果:
- 确定了五个不同的对非洲和非洲的期望集群.
- 同意的患者表现出"以自我为中心"或"以家庭为中心"的期望.
- 拒绝者的期望源自错误的信息,冗余的担忧,或预期的生命期末责任的委托.
结论:
- 改变患者的期望可以积极影响ACP的接受.
- 减少对ACP的无知和误解至关重要.
- 促进ACP作为家庭干预措施可能会改善结果,特别是在预期终身责任委托的家庭中.
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