遵守根据个人风险量身定制的黑色素瘤查和监视皮肤检查计划
Methmi M Perera1,2, Amelia K Smit1,2, Andrea L Smith1
1The Daffodil Centre, The University of Sydney, A Joint Venture with Cancer Council NSW, Sydney, New South Wales, Australia.
International journal of cancer
|August 23, 2024
概括
大多数患者 (62%) 坚持个性化黑色素瘤查计划. 不遵守,通常涉及更频繁的检查,是由患者的焦虑和临床医生对风险准确性的担忧驱动的.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 全人口的皮肤癌查不是标准的;指导方针有利于基于风险的检查.
- 关于实施和遵守基于风险的皮肤检查的证据有限.
研究的目的:
- 评估遵守个性化的黑色素瘤皮肤检查计划.
- 探索影响坚持和不坚持的因素.
主要方法:
- 混合方法方法使用问卷,临床记录和半结构面试.
- 从247个患者记录和29名患者/11名工作人员采访中收集的数据.
- 定量和定性数据的融合分离分析.
主要成果:
- 根据风险量身定制的皮肤检查计划的总体遵守率为62%.
- 不遵守常常导致皮肤检查比推的更频繁.
- 患者的焦虑,对自主性的渴望,临床医生对病变特征的担忧,以及风险准确性影响的偏差.
结论:
- 对于个性化黑色素瘤查计划,存在适度的遵守.
- 需要策略来管理患者的焦虑,并改善临床医生的风险沟通,以提高坚持.
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