"它不会伤害!它不会伤害! ":为什么许多预期寿命有限的患者决定接受肺癌查?
Eduardo R Núñez1,2,3, Rendelle E Bolton4,5, Jacqueline H Boudreau4
1Center for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Boston, Massachusetts and VA Bedford Healthcare System, Bedford, Massachusetts eduardo.nunez2@baystatehealth.org.
Annals of family medicine
|March 25, 2024
概括
患有多种健康问题的患者经常接受肺癌查 (LCS),却没有完全了解风险. 他们优先考虑心灵的平静,而不是长寿,不知道进一步的测试会造成潜在的伤害.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌查 (LCS) 对患有多种并发症和寿命有限的人来说,益处较小,伤害风险较高.
- 尽管如此,这些患者更有可能接受查,而不是更健康的符合条件的个人.
研究的目的:
- 探索边缘性LCS受益的患者如何感知他们的健康状况并做出关于查的决定.
- 了解影响这群人群中LCS决策的因素.
主要方法:
- 对40名患有多重疾病和寿命有限的患者进行面试的定性主题分析 (高护理评估需要得分).
- 在与临床医生讨论LCS后,从退伍军人卫生管理局设施招募了参与者.
主要成果:
- 患者通常对LCS持积极看法,认为它是非侵入性的.
- 他们优先考虑非长寿福利 (例如,心灵平静,未来规划),并且经常不考虑他们的健康状况或预期寿命.
- 许多人不知道查检测结果的潜在后续评估或治疗方法,但当这些被解释时,他们表示担忧.
结论:
- 患有多病症和预期寿命有限的患者往往没有意识到与LCS相关的风险增加.
- 共享决策至关重要,临床医生需要讨论患者对健康信息的渴望的潜在危害.
- 临床医生的建议显著影响患者对LCS的决定.
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