在肺癌查期间与患者报告的结果进行沟通的纵向评估
Christopher G Slatore1, Sara E Golden2, Liana Schweiger3
1Center to Improve Veteran Involvement in Care, Oregon Health & Science University, Portland, OR; Section of Pulmonary and Critical Care Medicine, VA Portland Health Care System, Portland, OR; Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR; National Center for Lung Cancer Screening, Department of Veterans Affairs, Washington DC.
接受肺癌查 (LCS) 的患者很少经历重大决策后悔或痛苦. 沟通质量没有影响这些结果,这表明旨在减少LCS伤害的干预措施面临挑战.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床沟通 临床沟通
背景情况:
- 这些组织建议共享肺癌查决策,以改善患者的治疗结果.
- 对于考虑LCS的患者来说,有效的沟通至关重要.
研究的目的:
- 确定与LCS后的决策遗憾和痛苦相关的以患者为中心的沟通组件.
- 评估沟通质量与患者报告结果之间的关联.
主要方法:
- 具有重复测量的前性纵向队列研究.
- 调查了接受LCS的患者,使用经过验证的遗憾,满意度,痛苦和沟通的指标.
- 使用一般化估计方程进行纵向分析.
主要成果:
- 大多数患者在LCS后报告了低水平的决策后悔和痛苦.
- 大多数患者的决策满意度仍然很高.
- 以患者为中心的沟通领域与决策后悔或痛苦无关.
结论:
- 中度至严重的决策后悔和痛苦在LCS后并不常见.
- 虽然报告有轻微的遗憾,但整体满意度很高.
- 沟通干预可能面临挑战,以减轻LCS相关的危害.
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