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Anne N Heirman¹, Daan P de Kort¹, Japke F Petersen¹

¹Department of Head-and-Neck Oncology and Surgery, Netherlands Cancer Institute - Antoni van Leeuwenhoek, Amsterdam, The Netherlands.

The Laryngoscope

|February 17, 2024

概括

患有晚期喉癌的患者在器官保存和喉切除之间做出选择时会经历显著的决策冲突 (DC). 需要改善患者咨询,因为关于治疗选择的知识往往很低.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
在瘤学瘤学.
决策科学决策科学决策科学

背景情况:

局部发达的喉癌 (T3-T4) 在器官保存和喉切除之间提出了复杂的治疗选择.
这些选择显著影响患者的功能和生活质量 (QoL).
治疗的复杂性可能导致决策冲突 (DC).

研究的目的:

探索局部晚期喉癌患者的决策冲突 (DC) 的程度.
在这个患者群体中识别与DC相关的因素.

主要方法:

多中心前性队列研究.
参与者填写了关于DC,共享决策 (SDM) 和咨询后知识和6个月治疗后知识的问卷.
描述性统计和斯皮尔曼相关性分析数据.

主要成果:

98%的患者在咨询后经历了临床显著的DC.
平均知识测试得分为47%,喉腔切除问题的得分较低 (35%),而放射治疗的得分较低 (69%).
患者和医生感知到的SDM水平都是70/100.

结论:

大多数晚期喉癌患者面临着高度的决策冲突.
患者对治疗选择知识的低水平突显了需要加强患者咨询的必要性.
解决知识差距对于改善喉癌治疗决策至关重要.

关键词:

提供咨询咨询服务.这是一个决定性冲突.决策能力决策能力喉切除术是指进行喉切除术.喉癌喉癌是一种

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