关于自身干细胞移植的共享决策:对老年患者和医生的定性研究
Qian Liu1, Jianfang Li2, Lixiu Wang1,3
1School of Nursing, Wuhan University, Wuhan, China.
Journal of the American Geriatrics Society
|November 22, 2024
概括
在患有血液癌症的老年人中进行自身造血干细胞移植 (autoHSCT) 的共享决策涉及医生因素,患者因素和相互信任. 了解这些因素是改善以患者为中心的护理策略的关键.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 决策科学 决策科学 决策科学
背景情况:
- 对于患有血液性恶性瘤的老年患者来说,共享决策至关重要,他们必须在自身造血干细胞移植 (autoHSCT) 和较少密集治疗之间做出选择.
- 对于老年患者和医生在这个决策过程中的观点的理解有限.
研究的目的:
- 综合探索血液恶性瘤的老年患者及其医生之间关于自动HSCT的共享决策的经验.
主要方法:
- 定性研究涉及与13名老年患者和8名医生进行半结构化深度访谈.
- 从2022年8月到2023年3月进行的采访.
- 使用科拉伊齐的现象学方法分析数据.
主要成果:
- 两个主要主题出现了:影响自动HSCT建议/决定的因素和治疗计划/结果预期.
- 影响因素包括医生驱动的因素 (评估,判断,沟通),患者驱动的因素 (感知风险/益处,财务,家庭) 和相互信任.
- 患者优先考虑自我管理,生活质量,并希望获得积极的结果,无论选择哪种治疗方法.
结论:
- 老年患者的自动HSCT共享决策过程受到医生和患者因素的影响,以及相互信任.
- 研究结果支持制定以患者为中心的策略,包括医生决策辅助工具和沟通培训.
- 需要进一步进行纵向研究,以评估这些因素对患者结果和生活质量的长期影响.
相关概念视频
Stem Cell Therapy for Tissue Regeneration
4.0K
Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
4.0K
Stem Cell Culture
5.1K
Stem cell research aims to find ways to use stem cells to regenerate and repair cellular damage. Over time, most adult cells undergo the wear and tear of aging and lose their ability to divide and repair themselves. Stem cells do not display a particular morphology or function. Adult stem cells, which exist as a small subset of cells in most tissues, keep dividing and can differentiate into a number of specialized cells generally formed by that tissue. These cells enable the body to renew and...
5.1K
Bone Marrow Sampling and Transplants
284
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
284
Adult Stem Cells
27.9K
Stem cells are undifferentiated cells that divide and produce more stem cells or progenitor cells that differentiate into mature, specialized cell types. All the cells in the body are generated from stem cells in the early embryo, but small populations of stem cells are also present in many adult tissues including the bone marrow, brain, skin, and gut. These adult stem cells typically produce the various cell types found in that tissue—to replace cells that are damaged or to continuously...
27.9K
iPS Cell Differentiation
2.6K
The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
2.6K
Nursing Ethical Principles II
920
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
920


