德国皮肤癌患者的第二意见和自我有效性
Henner Stege1, Sara Schneider1, Andrea Forschner2
1Department of Dermatology, University Medical Center Mainz, Mainz, Germany.
概括
皮肤癌患者寻求第二次医疗意见获得安慰和改善患者与医生的互动. 对于那些控制感较低的人来说尤其如此,尽管年轻的患者和晚期癌症患者经历了更大的生活中断.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 心理医学 心理医学
背景情况:
- 全球皮肤癌发病率的上升需要患者的支持.
- 德国法律 (SGB V, § 27b) 赋予患者第二次医疗意见的权利.
- 患者需要有关诊断和治疗影响的信息和支持.
研究的目的:
- 调查皮肤癌患者是否寻求第二次医疗意见.
- 评估寻求第二意见对患者日常生活的影响.
- 探索寻求第二意见背后的动机.
主要方法:
- 用于数据收集的标准化问卷.
- 分析了714个已填写的问卷.
- 探索患者的人口统计,癌症类型和动机.
主要成果:
- 恶性黑色素瘤患者 (58%) 最常寻求第二意见.
- 主要动机:治疗决策的保证和进一步的信息.
- 寻求第二意见与较低的内部控制点相关.
- 年轻的患者和晚期癌症患者报告说,日常生活受损程度更大.
结论:
- 二次意见增强了患者与医生的互动,并提供了放心,特别是对于感知控制能力较低的患者.
- 在晚期瘤阶段,生活质量和控制位置得到改善.
- 加强性和控制位置的干预措施对于应对癌症诊断至关重要.
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