患者对影响低风险前列腺癌积极监测遵守因素的观点:一种定性研究
Lalita Subramanian1, Sarah T Hawley1,2, Ted A Skolarus2,3
1Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Cancer medicine
|December 28, 2023
概括
对低风险前列腺癌的积极监测对男性来说是具有挑战性的. 信任,生活质量和个人经验显著影响了对监测的坚持,影响了治疗决策.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前列腺癌是美国男性最常见的癌症.
- 建议对低风险前列腺癌进行积极监测,以避免治疗副作用.
- 患者遵守主动监测协议仍然是一个重大挑战.
研究的目的:
- 探索影响低风险前列腺癌男性遵守主动监测的因素.
- 确定影响与监督遵守有关的决策过程的主题.
- 了解行为理论在解释监视遵守方面的作用.
主要方法:
- 半结构化,定性虚拟采访对15名男性进行了积极监视.
- 采访使用了理论领域框架 (TDF).
- 有根据的理论分析确定了影响坚持决策的主题.
主要成果:
- 情感的TDF领域,对后果的信念,环境背景和社会影响是最相关的.
- 出现了三个关键主题:对监控的信任,生活质量和自我/他人经验.
- 对这些主题的积极看法促进了坚持;负面看法导致了不坚持.
结论:
- 男人确定了影响积极监视遵守的关键因素.
- 干预措施应侧重于建立对监视作为治疗方法的信任.
- 提高生活质量和人际关系体验可以优化坚持.
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