揭开共享决策与决策质量,查决策和肺癌查查完成之间的关系
Lisa Carter-Bawa1, James E Slaven2, Patrick O Monahan2
1Center for Discovery & Innovation at Hackensack Meridian Health, Nutley, NJ, USA; Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Patient education and counseling
|January 18, 2024
概括
在肺癌查中的共同决策改善了患者的治疗结果. 提高患者的知识和自我效能,以及促进公开讨论,是改善肺癌查决策和遵守的关键.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌查对患者来说是一个关键但复杂的决定.
- 共享决策 (SDM) 对于查中以患者为中心的护理至关重要.
- 了解SDM对患者结果的影响对于改善查计划至关重要.
研究的目的:
- 研究共享决策与肺癌查中的决策和行为结果之间的关联.
- 确定影响患者决策质量和查遵守的因素.
主要方法:
- 进行了一项观察性队列研究.
- 数据结合了患者调查和电子健康记录.
- 该研究包括有资格接受肺癌查的患者,他们与初级保健医生讨论了查问题.
主要成果:
- 肺癌查的决策质量更高与知识增加,自我有效性和感知到的共享讨论以及感知到的益处更低有关.
- 患者对查的决定与年龄较大和更高的自我有效性有关.
- 查完成与年龄更大,知识更高,自我效能更高有关.
结论:
- 肺癌查的共同决策是患者和临床医生的合作过程.
- 提高患者的知识,自我效能和共享讨论的质量可以提高决策.
- 这些因素对于支持患者参与和遵守肺癌查至关重要.
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