参与癌症患者关于治疗选择的共享决策的因素
Yuko Kawasaki1, Kei Hirai2, Manabu Nii3
1College of Nursing Art and Science, University of Hyogo, Akashi, Japan.
Cancer diagnosis & prognosis
|January 4, 2024
概括
癌症患者经常发现治疗决策压力很大,许多人优先考虑延长寿命和医疗建议. 了解患者的看法和决策因素对于有效的癌症护理和支持至关重要.
科学领域:
- 在瘤学瘤学.
- 医学社会学 医学社会学
- 健康心理学 心理健康心理学
背景情况:
- 癌症患者面临复杂的治疗选择,平衡疗效与生活质量.
- 医疗保健提供者提供的令人困惑的信息可能会导致患者的痛苦和决策困难.
研究的目的:
- 为了调查癌症患者对治疗的看法.
- 确定影响癌症患者治疗决策的关键因素.
主要方法:
- 在194名日本癌症患者中进行了横截面在线问卷调查.
- 分析患者人口统计数据,对医疗保健提供者的看法,解释,治疗观点和决策理由.
主要成果:
- 很大一部分患者认为癌症治疗是一种财务/家庭负担 (60.3%),担心疼痛 (47.4%) 和压力 (40.2%).
- 大多数患者 (83.0%) 独立做出治疗决定,通常在一周内 (95.9%),尽管报告了困难 (49.0%).
- 关键的决定因素包括延长寿命 (68.0%),医务人员意见 (68.6%) 和接受治疗风险 (60.3%). 患者的态度包括焦虑,福利期望和护理期望.
结论:
- 共享决策 (SDM) 应该包括治疗效果的预后和可视化.
- 优先考虑心理支持是减少患者焦虑和提高决策准备能力的关键.
- 优化信息传递的范围和时间对于明智的癌症治疗选择至关重要.
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