关于在患有血液性瘤的患者中进行血造干细胞移植的决策冲突:一项描述性的定性研究
Xiaohuan Yuan1, Yidan Yang1, Chunfeng Wang1
1The School of Nursing, Fujian Medical University, Fujian Province, China.
概括
患有血液癌症的患者在血液造血干细胞移植 (HSCT) 方面面临困难的选择. 关键冲突涉及权衡风险,财务负担和个人与家庭需求.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 医学伦理 医学伦理
背景情况:
- 造血干细胞移植 (HSCT) 是血液瘤的关键治疗方法.
- 对于HSCT的决策涉及复杂的患者考虑.
研究的目的:
- 探索和理解在接受HSCT的血液新生瘤患者的决策冲突.
- 确定患者在决定HSCT时所面临的具体挑战.
主要方法:
- 描述性定性研究涉及16名患有血液性瘤的患者.
- 通过面对面深入采访收集的数据.
- 采访被记录,转录,编码和分析,遵循COREQ的指导方针.
主要成果:
- 所有患者都报告说,在做HSCT决策时遇到困难.
- 五个主要主题出现了:利弊,财务负担与重生,紧迫性与不准备,自我保护与家庭影响,伴侣与孤立.
- 这些主题突出了HSCT决策中的现实冲突.
结论:
- 患有血液性瘤的患者经历了关于HSCT的重大决策冲突.
- 医疗保健提供者应提供疾病信息,促进沟通,并提供财政支持.
- 解决这些冲突有助于患者做出最佳的HSCT决策.
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