讨论可能是癌症前体的低风险病变的首选标签和语言:一篇综述
Mavis S Lyons1, Smita Dhakal1, Clara Baker1
1Toronto General Hospital Research Institute, University Health Network, Toronto, Canada.
Patient education and counseling
|May 28, 2024
概括
患者的焦虑和生活质量受到低风险病变的令人困惑的标签的影响. 需要进行研究,以找到更好的术语,改善患者-提供者沟通,减少痛苦.
科学领域:
- 医学沟通 医学沟通
- 患者体验 患者体验
- 在瘤学瘤学.
背景情况:
- 患有低风险病变的患者经历了显著的焦虑,与侵袭性癌症患者相似.
- 目前对低风险病变的临床标签往往令人困惑,缺乏以患者为中心的含义.
研究的目的:
- 审查对低风险病变首选术语的现有研究.
- 了解患者和临床医生对病变标签的偏好背后的逻辑.
- 发现研究中关于低风险病变有效沟通策略的缺口.
主要方法:
- 发表文献的系统审查.
- 选了6569个标题,其中13项研究被纳入最终分析.
- 对患者和临床医生对病变命名的偏好进行研究的分析.
主要成果:
- 对低风险病变使用"癌症"一词增加了患者的焦虑,感知到疾病的严重程度,并倾向于侵入性治疗.
- 医生倾向于保留诸如"新生体"之类的术语,而不是从甲状腺损伤标签上删除"癌症",以管理患者的焦虑.
- 关于患者对低风险病变标签的偏好存在重大缺乏研究.
结论:
- 改善沟通对于减少患者的焦虑和提高福祉至关重要.
- 需要进一步的研究来开发针对低风险病变的以患者为中心的语言.
- 了解患者和医疗服务提供者关于屏幕检测病变的对话对于更好的结果至关重要.
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