专注于延长生命的抗癌治疗阻碍了晚期癌症患者的共同决策:一种定性嵌入式多个病例研究
Daisy Jm Ermers1,2, Maartje J van Geel3, Yvonne Engels1
1Department of Anaesthesiology, Pain, and Palliative Medicine, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.
Palliative medicine
|September 28, 2024
概括
在先进的癌症护理中,共同决策是具有挑战性的. 该项目旨在整合患者的背景,但终身治疗的重点往往阻碍了息治疗的这一关键方面.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 共享决策 - - 分享决策
背景情况:
- 在瘤学中,共享决策是有限的,特别是在患者环境方面.
- 该CONtext项目旨在通过整合患者背景,涉及全科医生和病例经理,并为患者提供休息时间来改善共享决策.
研究的目的:
- 探索晚期癌症患者和医疗保健专业人员在Context干预方面的经验.
- 了解在实施CONtext后,人们对共享决策和患者背景整合的看法.
主要方法:
- 定性嵌入式多个案例研究设计.
- 与晚期癌症患者,医疗瘤学家,病例经理和全科医生进行深入采访.
- 采访数据的诱导性内容分析.
主要成果:
- 共享决策是一个动态的过程,医疗瘤学家的建议是核心.
- 患者经常感到缺乏选择,这会影响决策过程.
- 整合患者背景是有价值的,但具有挑战性,部分原因是与绝症相关.
结论:
- 优先考虑延长生命的治疗方法可以限制晚期癌症的共享决策潜力.
- 整合个体患者背景对于息护理连续性至关重要,但面临重大障碍.
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