在儿科瘤学中寻求第二意见:动机和预测因素
Stephen Kerras1, Kate Hetherington1,2, Sara Toofanian3,4
1School of Clinical Medicine, Discipline of Paediatrics and Child Health, UNSW Medicine & Health, UNSW Sydney, Sydney, Australia.
Psycho-oncology
|November 19, 2024
概括
儿童癌症患者的护理人员经常寻求第二意见,特别是对于脑癌. 包括社交媒体使用在内的在线健康寻求行为与这一决定有关,这表明需要制定国际准则.
科学领域:
- 儿科瘤学 儿科瘤学
- 医疗保健服务研究 医疗服务研究
- 患者倡导 患者倡导
背景情况:
- 儿童癌症给家庭带来了独特的挑战.
- 了解影响医疗保健决策的因素对于改善患者治疗结果至关重要.
- 二次意见是复杂的医疗诊断导航的一个常见方面.
研究的目的:
- 调查儿童癌症患者护理人员中寻求第二意见的流行情况.
- 找出寻求第二意见背后的方法和动机.
- 探索与寻求第二意见相关的因素,包括在线行为和癌症类型.
主要方法:
- 在悉尼儿童医院进行了一项基于问卷的前性研究.
- 护理人员报告了寻求第二意见,动机和在线健康行为.
- 世界各地的儿科瘤学家接受了关于基于电子邮件的第二意见请求的调查.
主要成果:
- 11.1%的护理人员寻求第二意见,主要是为了确认诊断,探索治疗方法或获取信息.
- 脑癌的诊断是寻求第二意见的重要预测因素.
- 在线寻求健康,使用社交媒体和频繁搜索与寻求第二意见有关.
- 大多数瘤学家经常收到电子邮件请求第二意见,并支持准则的制定.
结论:
- 癌症儿童的照顾者经常寻求第二意见.
- 在线寻找健康信息影响了寻求第二意见的决定.
- 需要国际指导方针来规范儿童瘤学中第二意见请求的过程.
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