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在接受恢复性分泌切除术的直肠癌患者的决策偏好和遗憾:一项前性队列研究
Temitope G Joshua1, Stephan Robitaille2, Tiffany Paradis3
1Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, Health Centre, Montreal, Quebec, Canada. Electronic address: https://twitter.com/temitopegjoshua.
患者在直肠癌治疗决策中的偏好显著影响了恢复性分泌切除术后的遗憾. 不匹配的决策角色导致更高的后悔,强调需要以患者为中心的护理.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 了解患者在直肠癌的治疗选择对于长期满意度至关重要.
- 恢复性分泌切除的决策过程及其与患者遗憾的联系需要进一步调查.
研究的目的:
- 在接受恢复性分泌切除术的直肠癌患者中描述决策偏好.
- 评估这些偏好对决策后悔的影响.
主要方法:
- 在专业直肠癌中心对123名成年患者进行前性队列研究.
- 评估健康素养 (BRIEF),决策偏好 (控制偏好尺度),决策遗憾 (决策遗憾得分) 和肠道功能障碍 (低前切除综合征得分).
主要成果:
- 足够的健康素养与偏好协作决策相关.
- 首选和实际决策角色不一致的患者报告了更高的遗憾 (56%对25%).
- 显著的低前切除综合征也与遗憾增加有关 (44%与25%相比).
结论:
- 许多接受恢复性前切除术的直肠癌患者在他们的首选和实际决策角色之间经历了不一致.
- 这种不一致性与很高程度的决策遗憾密切相关.
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