共享决策实施计划对以患者为中心的沟通在瘤学中的影响-随机对照试验的二次分析
Anja Lindig1, Lotta Mannagottera1, Pola Hahlweg1
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
概括
一个旨在改善癌症护理中共享决策 (SDM) 和以患者为中心 (PC) 沟通的瘤学计划对医生的沟通技巧没有显著影响. 需要进一步的研究来制定有效的实施策略.
科学领域:
- 在瘤学瘤学.
- 医疗保健通讯 医疗保健通讯
- 实施科学 实施科学
背景情况:
- 以患者为中心的 (PC) 沟通和共享决策 (SDM) 在常规癌症护理中至关重要,但往往不充分实施.
- 需要有效的策略来增强PC通信和SDM在瘤学设置.
研究的目的:
- 评估一项实施计划对瘤科医生的PC沟通技能的影响.
- 该研究评估了SDM的培训和指导是否影响了临床接触期间的医生沟通.
主要方法:
- 进行了一次阶段实施试验数据的二次分析.
- 来自三个德国癌症中心部门的146次临床接触的音频记录在干预之前和之后使用德国版本的四习惯编码方案 (4HCS) 进行了分析.
主要成果:
- 没有观察到实施计划对医生PC沟通技能的统计学意义上的影响.
- 患者的平均年龄为57.1岁,其中70.3%为女性. 根据4HCS的评估,干预并没有导致可测量的沟通改善.
结论:
- 调查的计划,尽管包括培训和指导,但没有改善PC通信在瘤学临床接触.
- 缺乏效果的潜在原因包括培训时间短,评估工具的可靠性中等,干预范围有限.
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