决策遗憾和满意在胰腺手术中共享决策
Nicholas Galouzis1, Maria Khawam1, Evelyn V Alexander1
1Department of Surgery, The University of Arizona, Tucson, AZ, United States.
概括
近五分之一的患者在胰腺手术后感到后悔,特别是年轻人或患有良性疾病的人. 改善共享决策可以帮助将患者的选择与他们的护理目标相协调.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 健康心理学 心理健康心理学
背景情况:
- 胰腺手术为癌症提供了有限的长期存活率和良性疾病不一致的症状改善.
- 评估患者的决策遗憾和满意度对于理解手术结果至关重要.
研究的目的:
- 在接受胰腺切除术的患者中,评估决策后悔和对决策过程的满意度.
- 为了确定与胰腺手术后的决定后悔相关的因素.
主要方法:
- 对143名患者 (71名受访者) 进行了突破决策遗憾量表 (DRS),9项共享决策问卷 (SDM-Q-9) 和EORTC QLQ-C30.
- 定义决策后悔作为DRS得分>25.
- 分析了与遗憾有关的人口统计,病理学,并发症和生活质量数据.
主要成果:
- 18.3%的患者在胰腺手术后表示严重后悔.
- 遗憾与年轻的年龄,良性疾病征兆,远端胰腺切除术和重大并发症有关.
- 后悔的患者报告说,他们的整体健康和社会功能得分较低,他们对共享决策不那么满意.
结论:
- 对决后悔是近五分之一的胰腺切除术后患者的一个重要问题.
- 诸如年龄,手术指示,手术类型和并发症等因素会影响遗憾.
- 加强共享决策过程至关重要,以使患者的决策与他们的护理目标保持一致.
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