不切实际的期望和披露非小细胞肺癌患者的不可治愈性
Takaaki Hasegawa1, Toru Okuyama2,3,4, Takehiro Uemura5,6
1Center for Psycho-oncology and Palliative Care, Nagoya City University Hospital, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan.
概括
当瘤学家透露癌症无法治愈时,患者通常会误解. 化学疗法作为治愈方法的不切实际期望与无法治愈的认可不足有关,影响了息护理的获取.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 患者沟通 患者沟通
背景情况:
- 关于癌症预后的有效沟通对于患者的理解和护理规划至关重要.
- 患者对治疗疗效的期望,特别是对于化疗,可能会影响他们对不可治愈性披露的看法.
研究的目的:
- 确定患者对化疗作为治疗方法的不切实际期望与他们对癌症无法治愈的披露的看法之间的联系.
- 探索被认为无法治愈的披露和接受专门的息治疗之间的关系.
主要方法:
- 对200名预先治疗非小细胞肺癌的患者进行前性研究.
- 评估了患者和瘤学家对不可治愈性披露的看法,以及患者对化疗治愈的期望.
- 分析了使用多重回归的关联,包括收到息治疗后的随访.
主要成果:
- 38.5%的患者对治愈有不切实际的期望.
- 在患者 (69.0%) 和瘤学家 (92.5%) 对不治愈性披露的看法之间发现了显著的差异.
- 缺乏知觉披露的患者更有可能有不切实际的治愈期望.
- 不切实际的治愈期望与获得专业息治疗的可能性明显降低 (aOR=0.45).
结论:
- 瘤学家对癌症无法治愈的披露往往没有得到患者的充分认可.
- 患者对化疗作为治疗方法的期望与他们对不可治愈性披露的看法有关.
- 需要改进的沟通策略,以确保患者对预后的准确理解,并促进及时的息护理转诊.
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