决策冲突和决策遗憾在头部和部瘤学:一个系统的审查和元分析
Anne Nadine Heirman1, Coralie Romé Arends1, Dominique Valérie Clarence de Jel1
1Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.
JAMA otolaryngology-- head & neck surgery
|March 21, 2024
概括
决策冲突和决策后悔在头癌患者中非常普遍,影响生活质量. 改善共享决策和患者咨询对于更好的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 医疗决策的制定 医疗决策的制定
背景情况:
- 头癌 (HNC) 治疗显著影响患者的生活质量.
- 治疗决策涉及平衡生存与生活质量,导致潜在的决策冲突 (DC) 和决策后悔 (DR).
研究的目的:
- 系统地审查和总结HNC中DC和DR的文献.
- 为了确定HCNC患者中DC和DR的患病率和程度.
- 为临床实践和未来研究方向提供建议.
主要方法:
- 在Embase,Web of Science,MEDLINE和PsycINFO进行全面的文献搜索,截至2023年2月.
- 包括在HNC中针对DC和/或DR的研究,不包括皮肤瘤.
- 在数据允许的情况下,用于对DC和DR的综合流行率估计的元分析.
主要成果:
- 使用经过验证的问卷,临床相关的DR的综合流行率为71%.
- 在有限的研究中,DC的患病率在22.6%至47.5%之间.
- 定性主题包括准备,共享决策,信息,时间压力和压力.
结论:
- 决策冲突和决策后悔是头癌症护理中非常普遍的问题.
- 研究特定的调查问卷可能会低估决定后悔的真实流行率.
- 加强患者咨询和共享决策过程对于HNC患者至关重要.
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