[共享决策模型在患有胸部癌症的患者中的应用进展]
Weihao Chen1, Mengni Zhang2, Cheng Shen3
1West China School of Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo fei ai za zhi = Chinese journal of lung cancer
|March 7, 2024
概括
共享决策 (SDM) 提高了患者对胸部瘤治疗的遵从性和信心. 然而,受限患者素养和研究规模等挑战阻碍了其在胸部手术中的广泛采用.
科学领域:
- 在瘤学瘤学.
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 是医疗保健中患者与医生的合作的一个新兴模式.
- 它在胸部瘤诊断和治疗中的应用在临床实践中越来越受欢迎.
- SDM旨在平衡患者和医生的角色,提高治疗坚持.
研究的目的:
- 评估SDM对患者遵守和胸部瘤管理结果的影响.
- 探索SDM对胸部外科患者和医生的好处.
- 确定 SDM 在这个领域实施的障碍和未来方向.
主要方法:
- 审查当前文献和SDM在胸部瘤学的临床应用.
- 分析影响SDM有效性的因素,包括患者素养和医生与患者的比率.
- 讨论SDM实施的挑战和潜在解决方案.
主要成果:
- SDM可以提高患者的遵从性,减少心理痛苦,增强医疗信任.
- 它可以减轻医生的责任压力,减少医生与患者之间的冲突.
- 目前的证据受到小样本大小的限制,实施面临阻力.
结论:
- 通过提高患者的遵从性和信任度,SDM显示出改善胸部瘤治疗的前景.
- 障碍包括患者相关的因素 (识字,自主) 和系统性问题 (医生患者比例,研究限制).
- 未来的决策支持系统和医生培训方面的进步对于更广泛的SDM在胸外科手术中的采用至关重要.
相关概念视频
Cancer Survival Analysis
345
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
345
Nursing Ethical Principles II
965
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
965
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K


