弥合护理差距:患者在放射治疗中关于共享决策的需求和经验
A R van Hienen1, C J W Offermann2, L J Boersma1
1Department of Radiation Oncology (MAASTRO), GROW Research Institute for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, Dr Tanslaan 12, 6229 ET, the Netherlands.
大多数癌症患者在放射治疗中更喜欢共享决策 (SDM),但他们的偏好和经验选择之间存在很大的差距. 需要实施战略来解决放射治疗的特殊障碍,并加强患者参与.
科学领域:
- 在瘤学瘤学.
- 患者为中心的护理
- 医疗服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 是一种协作方法,患者和医生共同决定治疗.
- 虽然SDM有好处,但其在常规临床实践中的实施面临挑战.
- 放射治疗 (RT) 为SDM带来了独特的挑战,因为患者的转诊模式.
研究的目的:
- 在一个学术RT诊所调查患者的偏好和SDM经验.
- 确定改善RT环境中的SDM实施的具体目标.
主要方法:
- 使用了来自荷兰癌症患者组织联合会的调整调查.
- 该调查通过信件和社交媒体分发给前RT患者.
- 从2020年至2022年期间服用的患者收集了数据.
主要成果:
- 在1799名参与者中,88.3%的人更喜欢SDM.
- 只有23.1%的参与者经历了选择,其中50%的人有多个选择.
- 身体自主是偏爱SDM的主要原因;高等教育与偏爱和经历SDM相关.
结论:
- 该研究证实了患者在RT中对SDM的偏好很高,类似于一般癌症护理.
- 在RT患者所经历的预期和实际SDM之间存在很大的差异.
- 需要有针对性的战略来克服RT特定的障碍,并加强SDM的实施.
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