对决策干预措施的有效性进行系统审查,以增加在晚期癌症咨询中发生的共享决策的感知
Grant Punnett1, Charlotte Eastwood2, Laura Green3
1The Christie NHS Foundation Trust, Wilmslow Road, Withington, Manchester M20 4BX, UK; University of Manchester, School of Nursing, Midwifery and Social Work, Manchester, UK.
Patient education and counseling
|March 16, 2024
概括
在共享决策 (SDM) 中的医疗保健专业人员培训可以提高临床医生的技能和患者咨询,以治疗晚期癌症. 这种方法可能会导致与患者护理目标一致的决策.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 医学教育 医学教育
背景情况:
- 共享决策 (SDM) 对于晚期癌症治疗至关重要.
- 了解决策干预如何起作用至关重要.
研究的目的:
- 分析决策干预措施在晚期癌症咨询中的功能.
- 评估这些干预措施是否增强了感知到的SDM行为.
主要方法:
- 在五个数据库中进行系统的文献搜索.
- 使用行为改变技术 (BCT) 编码干预措施.
- 对SDM行为干预效应的叙事综合.
主要成果:
- 四项研究确定了各种干预措施.
- 瘤学家SDM培训,有或没有患者辅助工具,显著改善了SDM行为 (p < 0.05).
- 干预的关键功能包括教育,培训,建模和启用.
结论:
- 医疗保健专业人员 (HCP) 的SDM培训包括建模和启用,可以提高临床医生的SDM能力.
- 实施HCP SDM培训可以增加其采用率,可能使先进的癌症治疗决策与患者目标保持一致.
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