坚持脚本:乳腺癌患者对口服内分泌疗法的决策
Stephanie B Wheeler1, Megan C Roberts2, Austin R Waters1
1Department of Health Policy and Management, University of North Carolina at Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, USA.
Patient education and counseling
|June 15, 2024
概括
许多患有早期乳腺癌的妇女由于副作用或不信任而没有开始或停止内分泌疗法 (ET). 医生的鼓励可以改善对这种重要治疗的坚持.
科学领域:
- 在瘤学瘤学.
- 医学社会学 医学社会学
背景情况:
- 内分泌疗法 (ET) 对于降低HR+早期乳腺癌复发风险至关重要.
- 了解患者关于ET启动和坚持的决策对于改善结果至关重要.
研究的目的:
- 探索早期乳腺癌妇女放弃或停止内分泌治疗 (ET) 的原因.
- 确定影响接受和长期坚持ET的因素.
主要方法:
- 与53名患有I-III期HR+乳腺癌的妇女进行了深入采访 (非发起者,停止者和坚持者).
- 诱导性内容分析,检查ET处方的决策过程.
主要成果:
- 55个主题出现,突出了复杂的决策过程.
- 非发起者不信任医疗系统,认为ET风险高于好处.
- 停药者主要提到副作用;医生支持影响了两组人的决定.
- 患者的故事和社会支持发挥了重要作用.
结论:
- 实质性障碍阻碍了ET的启动和持续,尽管其已被证明是有效的.
- 医生有很大的影响力,可以成为激励患者坚持ET的关键.
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