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患者对喉癌手术后的治疗决定的反思
Susanne Singer1,2, Julia Roick3, Annegret Gose1
1Division of Epidemiology and Health Services Research, Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre of the Johannes Gutenberg-University Mainz, Mainz, Germany.
JAMA otolaryngology-- head & neck surgery
|June 27, 2024
概括
大多数头癌患者对手术有积极的态度. 患者协会的咨询和共享决策改善了外科手术的态度,并减少了后悔.
科学领域:
- 在瘤学瘤学.
- 患者报告的结果
- 外科手术决策的制定能力
背景情况:
- 了解患者对喉癌手术的看法对临床医生至关重要.
- 识别与手术后悔相关的因素可以改善患者的护理和结果.
研究的目的:
- 评估与对喉癌手术的积极态度相关的变量.
- 探索影响患者满意度和喉切除术后决策后悔的因素.
主要方法:
- 一项涉及780名在16家德国医院接受喉癌手术的患者的队列研究.
- 通过采访和问卷 (喉切除术后心理社会调整问卷) 收集的数据,手术后长达1年.
- 多变量回归分析检查了手术类型,辅助疗法,生活质量,言语,人口统计和决策过程之间的关联.
主要成果:
- 大多数患者报告了对手术的积极态度,这表明他们对决定的遗憾很低.
- 来自患者协会的咨询与更积极的外科治疗态度有关 (调整B=8.8).
- 共享决策对态度产生了积极的影响,特别是在部分喉切除术患者中;缺乏共享决策与更高的遗憾相关.
结论:
- 大多数头癌患者表现出积极的外科手术态度,这表明对决定的遗憾是最小的.
- 建议患者协会咨询和共享决策,以提高外科手术的接受度和减少后悔.
- 个性化的患者支持和参与决策对于改善喉癌后手术经验至关重要.
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