肺癌查知识与以患者为中心的结果有关吗? 一个多机构的队列研究
Liana Schweiger1,2, Sara E Golden1,2, Donald R Sullivan1,2
1Division of Pulmonary, Allergy, & Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
MDM policy & practice
|November 1, 2024
概括
许多接受肺癌查 (LCS) 的患者不记得关键信息,尽管他们有积极的经验和低决策冲突. 需要加强患者教育,以改善知识保留,以获得更好的LCS护理.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 患者教育 患者教育
背景情况:
- 医疗保险和医疗补助服务中心要求在肺癌查 (LCS) 方面进行共享决策.
- 关于LCS危害和益处的有效沟通对于患者的知情选择至关重要.
- 评估决策后的患者知识保留对于评估护理质量至关重要.
研究的目的:
- 评估肺癌查 (LCS) 后患者知识保留的共享决策互动.
- 评估LCS知识与患者报告结果之间的关系,包括沟通质量和决策冲突.
- 确定基本的LCS知识是否足以提供高质量的以患者为中心的护理.
主要方法:
- 在3个不同的医疗中心对409名患者进行调查.LCS后的决策互动.
- 主要分析的重点是关于LCS.所选条件的知识问题.
- 二次分析使用知识总结得分和验证的工具来评估沟通质量,临床医生的感知和决策冲突.
主要成果:
- 只有44%的患者正确地回答了主要的LCS知识问题.
- 报告了临床医生沟通 (93%) 和临床医生认知 (93%) 的高评分.
- 观察到决策冲突较低 (14%),较高的LCS知识与较低的冲突相关.
- 正确的知识与更好的沟通质量和临床医生评级有关,但不是决策冲突.
结论:
- 许多患者在决策互动后缺乏关于肺癌查 (LCS) 的保留知识.
- 尽管存在知识差距,但患者报告积极的体验和低决策冲突.
- 仅仅基本的LCS知识可能不足以确保高质量,以患者为中心的LCS护理,这表明需要改进教育策略.
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