新诊断的晚期癌症患者在医院的共享决策需求,障碍和促进者:一个多层次的混合方法研究
Kevin R Reyes1, Paul Wong1, Mary Petrofsky2
1Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
概括
在医院新诊断的晚期癌症患者需要更好的共享决策 (SDM) 支持. 住院治疗给信息和决策带来了独特的障碍,影响了癌症护理质量.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 对癌症患者至关重要.
- 人们对住院,新诊断的晚期癌症患者的SDM需求知之甚少.
研究的目的:
- 探索SDM对新诊断的晚期癌症住院患者的需求,障碍和促进者.
- 改善SDM和癌症护理质量,为这个弱势群体.
主要方法:
- 混合方法研究涉及患者,护理人员和瘤学家.
- 进行了半结构面试和瘤学家调查.
- 进行了主题和描述性统计分析.
主要成果:
- 患者和护理人员报告高SDM需要治疗和预后信息,导致决策冲突.
- 住院治疗为信息收集和决策创造了独特的障碍和促进者.
- 大多数接受调查的瘤学家认为患者对治疗和预后的信息不足.
结论:
- 新确诊的晚期癌症住院患者有显著的SDM需求和决策冲突.
- 住院治疗引入了特定的障碍,可能会加剧这些问题.
- 需要进一步的研究来制定克服这些障碍和增强SDM的战略.
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