患者对异常癌症查测试结果的随访的看法
Steven J Atlas1, Katherine L Gallagher2, Sydney E McGovern2
1Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA. satlas@mgh.harvard.edu.
许多患者在异常癌症查测试后没有及时完成随访. 解决对癌症的恐惧和改善对随访需求的沟通是改善患者结果的关键.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 患者体验研究 研究研究
背景情况:
- 在异常癌症查后及时跟进至关重要,但往往无法实现.
- 患者对后续诊断工作的经验尚不清楚.
研究的目的:
- 评估患者在异常乳腺癌,宫癌或结直肠癌查结果后对诊断工作过程的经验和看法.
主要方法:
- 对有异常查结果的患者进行了一项调查.
- 收集的数据包括安排时间的方便性,感知障碍,提供者信任和对护理的满意度.
- 从三个初级保健网络的44家诊所招募了患者.
主要成果:
- 241名患者完成了调查,51%的人没有完成推的随访.
- 对癌症的恐惧是一个常见的担忧 (63.1%),但与随访完成无关.
- 17%的患者不认为随访是必要的,并且不太可能完成随访.
结论:
- 患者报告了对异常癌症查的推随访管理方面的不足.
- 改善关于随访必要性的沟通和解决与癌症相关的恐惧可能会提高及时遵守.
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