在息性癌症护理中共享决策:系统性审查和转合成
Jannicke Rabben1, Bella Vivat2, Mariann Fossum1
1Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Kristiansand/Grimstad, Vest-Agder, Norway.
Palliative medicine
|March 14, 2024
概括
在息性癌症护理中,共享决策是复杂的,选择有限,患者参与度不同. 实施它需要澄清概念,涉及跨专业团队,并适应独特的患者情况.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 是以人为中心的护理的核心,特别是在偏好敏感的情况下.
- 记录了息护理中SDM的实施挑战和障碍.
- 需要进一步了解缓解癌症护理中的SDM过程,以改善其应用.
研究的目的:
- 系统地审查和综合有关癌症患者,非正式照顾者和医疗保健专业人员在息性癌症护理中的SDM经验和感知的定性研究.
主要方法:
- 定性研究的系统审查和转合成.
- 使用感应主题分析来分析数据.
- 在五个主要的电子数据库中进行了搜索,并通过向后引用搜索来补充.
主要成果:
- 在26篇论文中报道的23项研究被纳入了分析.
- 四个关键的分析主题出现了:"无选择的压倒性情况"",基于决策时间和性质的过程可变性"",患者-医生二元体与周围支持的中心性"和"个人和系统相互作用影响参与水平".
结论:
- 缓解癌症护理中的SDM是复杂的,涉及复杂的,不断变化的环境中的许多决策,其中平衡和选择往往是有限的.
- 有效实施需要澄清围绕SDM的概念模两可.
- 整合跨专业团队和量身定制的方法对息性癌症护理的模两可,存在性的性质是成功SDM的关键.
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