低风险乳头甲状腺微瘤患者的决策冲突,考虑积极监测
Qianqian Zhang1,2, Xinyue Gu2, Shuangyuan Liu1
1Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
JAMA otolaryngology-- head & neck surgery
|September 19, 2024
概括
患有低风险乳头甲状腺微癌的患者在选择主动监测时经历了重大决策冲突. 了解这些冲突及其原因可以改善这些患者的决策支持.
科学领域:
- 在瘤学瘤学.
- 决策科学 决策科学 决策科学
- 患者心理学 患者心理学
背景情况:
- 积极监测是低风险的乳头甲状腺小癌的安全和有益的管理选择.
- 选择主动监测对患者来说是一个重要的治疗决策挑战.
研究的目的:
- 识别和分析决策冲突的先例和调解过程.
- 了解患者在考虑积极监测与手术时的经验.
主要方法:
- 使用半结构面试进行的定性研究,对31名被诊断为患有低风险乳头甲状腺小癌的患者进行了半结构面试.
- 在中国的3家三级医院进行了采访.
- 诱导性内容分析和确保可信度的方法 (审计轨道,成员检查).
主要成果:
- 出现了三个主题:准备,决策和实施中的决策冲突.
- 前例包括个人,系统层面和关系-情境因素.
- 患者努力调解这些因素,导致整个过程中的决策冲突.
结论:
- 患有低风险 papillary 甲状腺微癌的患者经历了重大决策冲突和心理挑战.
- 识别先例和调解过程可以指导决策支持策略.
- 结果为患者,医疗保健专业人员和卫生系统提供了洞察力.
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