在异构移植环境中患者和医生的沟通:挑战和潜在的解决方案
Anna Barata1, Guy Tavori2, Daniel Wolff3
1Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Transplantation and cellular therapy
|October 6, 2024
概括
患者与医生的沟通对于异构移植幸存者至关重要. 在讨论疾病,知情同意和遵守方面存在差距,需要未来的研究和改进的沟通策略.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 移植医学 移植医学
背景情况:
- 全基性造血细胞移植 (HCT) 是一个复杂的过程,涉及显著的发病率和死亡率.
- 在整个HCT轨迹中,有效的患者与医生的沟通是必不可少的.
- 现有的文献缺乏对HCT幸存者所面临的沟通挑战的全面分析.
研究的目的:
- 审查有关异构HCT患者与医生沟通的现有文献.
- 识别有关移植相关疾病和护理方面的沟通缺口.
- 探索在这种患者群体中增强沟通的战略.
主要方法:
- 系统的文献综述研究的患者-医生沟通在全源性HCT.
- 关于知情同意,疾病,坚持和补充医学的沟通动态的分析.
- 识别有效沟通的障碍和促进者的障碍.
主要成果:
- 很少有研究涉及异种HCT中的通信.
- 发现了与心理社会困扰,疲劳,性功能,知情同意,认知功能障碍,坚持和补充医学有关的重大沟通缺口.
- 患者报告的结果措施改善了沟通满意度和症状管理.
结论:
- 沟通方面的挑战在异质性高血压试验中很普遍,源于患者和医生之间的障碍.
- 进一步的研究对于理解和解决这些沟通缺陷至关重要.
- 测试干预措施,如决策辅助工具和沟通技能的培训是需要在全基性HCT设置.
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