理解和信仰在预言意识中的作用
Alexander T Yahanda1,2, Bryan A Sisk3,2,4
1Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
概括
患者的预后意识不仅仅是理解信息. 影响预后不一致的因素需要一种细微的方法来改善患者接受和医疗保健机构的决策.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 健康心理学 心理健康心理学
背景情况:
- 关于预后理解的传统研究强调信息传输.
- 仅仅是患者的理解可能无法保证对预后信息的接受.
- 医生和患者之间的预后不一致是医疗保健中的一个重要问题.
研究的目的:
- 提供对预后意识的细微理解.
- 确定在瘤护理中导致预后不一致的因素.
- 提出一个模型,描述预后意识的障碍.
主要方法:
- 关于预后理解当前研究的文献综述.
- 对预后意识障碍的概念模型的开发.
- 分析影响患者处理和对预后信息的信念的因素.
主要成果:
- 预测意识受到信息传输以外的多个因素的影响.
- 即使有了明确的信息,患者的信念和接受也可能受到阻碍.
- 医生沟通策略显著影响患者对预后数据的处理.
结论:
- 改善预后披露需要解决患者的理解,信念和接受.
- 一个误解模型可以指导未来的预后沟通干预.
- 未来的研究应该探索预后披露过程的多方面的干预措施.
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