结肠直肠癌患者报告的频率,内容和对预先护理计划讨论的满意度
Said Hussein1, Chloe Ahryung Lim2, Thulasie Manokaran2
1Division of Palliative Medicine, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
Current oncology (Toronto, Ont.)
|March 27, 2024
概括
患有晚期结直肠癌的患者经常与提供者讨论健康话题,报告高满意度. 需要提高质量,以便在预先护理规划 (ACP) 中更好地捕捉个人目标.
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:
- 预先护理计划 (ACP) 对于患有晚期结直肠癌的患者至关重要.
- 了解有关ACP的患者-提供者沟通是必不可少的.
研究的目的:
- 描述晚期结直肠癌患者中ACP对话的频率,内容和满意度.
- 评估ACP讨论与关怀指定的目标 (GCD) 之间的关联.
主要方法:
- 观察性队列研究涉及来自加拿大阿尔伯塔省两个三级癌症中心的131名患者.
- 利用经过验证的"我的对话"调查来评估ACP因素,医疗保健提供者 (HCP) 的参与以及患者满意度.
- 在入学时和入学后1,2,3个月收集的数据.
主要成果:
- 在招生时,24%的患者讨论了非洲和非洲国家的主题;频率随着时间的推移而增加.
- 关于恐惧 (80.2%),预后 (71.0%) 和治疗偏好 (54.2%) 的讨论频率很高.
- 只有44.3%的人讨论了个人价值观;对话主要与瘤学家 (84.7%) 和护士 (61.8%) 进行.
- 超过80%的人表示高度满意,并且感到被倾听.
- 护理指定的目标 (GCD) 顺序从53%增加到74%.
结论:
- 患有晚期结直肠癌的患者经常与医疗保健人员进行ACP对话,报告高满意度.
- 在ACP讨论期间,有机会提高患者的个人目标和价值观的质量.
- 增加的GCD订单表明,随着时间的推移,患者偏好的记录得到了改进.
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