对癌症患者参与临床试验感到遗憾
Kayla M Baker1,2,3, Lucy Andersen1,2,3, Molly McHugh1,2,3
1University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Journal of palliative medicine
|November 28, 2024
概括
大约10%的癌症临床试验参与者表示后悔. 年轻的年龄,更大的症状负担和较低的治疗乐观情绪与增加的遗憾有关,影响了保留和伦理研究.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 患者报告的结果
背景情况:
- 癌症临床试验 (CCT) 对于推进癌症治疗至关重要.
- 了解患者的经历,包括遗憾,对于伦理研究和试验参与至关重要.
- 对参与CCT的遗憾可能会影响患者的保留和坚持.
研究的目的:
- 检查癌症临床试验参与者中遗憾的普遍性.
- 探索遗憾与症状负担,症状烦,治疗乐观主义和精神信仰等因素之间的关联.
- 为了确定在CCT参与中遗憾的预测因素.
主要方法:
- 来自美国CCT患者参与者的横截面数据 (2015-2019) 的二次分析.
- 使用了描述性统计,双变量分析和后勤回归.
- 分析了样本大小 (n=325) 来评估遗憾.
主要成果:
- 大约10%的参与者表示后悔.
- 年龄较小,症状负担增加,症状烦增加和治疗乐观度较低与遗憾有显著的关联 (p < 0.05).
- 后勤回归确定年轻的年龄,症状负担和治疗乐观是遗憾的重要预测因素 (p <0.05).
结论:
- 遗憾是癌症临床试验参与者的一个子集的相关经验.
- 症状负担和治疗乐观是影响CCT后悔的关键因素.
- 解决患者的症状经历和管理期望可能会改善CCT保留和伦理研究实践.
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