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评估患者对肺癌切除手术结果的看法和偏好:一个横截面研究
Matthew Shiu Hang Wong1,2, Aina Pons1,2, Paulo De Sousa1,2
1Academic Division of Thoracic Surgery, Royal Brompton Hospital, London, UK.
Journal of thoracic disease
|July 10, 2024
概括
接受肺癌手术的患者优先考虑瘤结果并避免并发症. 了解这些患者偏好是改善胸部瘤学共享决策和个性化护理的关键.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 手术切除是早期肺癌的标准治疗方法.
- 关于术后结果的患者优先事项尚未得到充分理解.
- 确定以患者为中心的结果对于改善护理至关重要.
研究的目的:
- 确定接受肺癌手术的患者最重要的术后结果.
- 探索临床和人口因素如何影响患者对各种结果的重要性.
主要方法:
- 一项涉及为非小细胞肺癌进行肺切除的患者的横截面研究.
- 患者在手术前填写了自己开发的问卷和EORTC QLQ-C30.
- 顺序逻辑回归分析了患者因素和结果重要性等级之间的关联.
主要成果:
- 癌症结局 (R0切除,癌症复发) 和整体生存率是高度优先考虑的.
- 术后并发症 (心肌梗塞,感染) 和重新手术也被认为非常重要.
- 疼痛和恢复体力活动等生活质量因素受到重视,尽管低于瘤学结果. 手术前的生活质量没有影响结果的重要性.
结论:
- 接受肺癌手术的患者优先考虑瘤结果和避免并发症.
- 患者对结果的偏好因人口统计和临床因素而异.
- 纳入患者的偏好增强了共享决策和患者为中心的护理在胸部外科瘤学.
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