乳腺活检通知偏好和健康素养
Manon Fisher1, Elizabeth Ablah1,2, Hayrettin Okut1,2
1University of Kansas School of Medicine-Wichita, Wichita, KS.
Kansas journal of medicine
|January 6, 2025
概括
诊断为乳腺癌的患者绝大多数人更喜欢亲自交付活检结果,不管他们的健康素养如何. 这一发现强调了直接沟通对于癌症诊断的重要性.
科学领域:
- 在瘤学瘤学.
- 患者沟通 患者沟通
- 卫生识字 卫生识字
背景情况:
- 乳腺活检结果的沟通往往没有达到患者的期望.
- 了解患者的偏好对于改善传递敏感医疗信息至关重要.
研究的目的:
- 确定患者接受乳腺活检结果的偏好,重点关注沟通方法,提供者类型和等待时间.
- 评估健康素养对这些偏好的影响.
主要方法:
- 对101名以英语为母语的女性患者进行了一项调查,这些女性患者先前被诊断患有乳腺癌.
- 该调查包括简要的健康素养检查 (BHLS) 和关于结果交付偏好的问题.
- 根据BHLS得分,根据健康素养 (充足/不充足) 分类参与者.
主要成果:
- 大多数 (64%) 的人更喜欢亲自沟通活检结果.
- 偏好包括听到初级保健医生 (40%) 或外科医生 (36%),其中56%希望在24小时内得到结果.
- 根据健康素养水平 (所有因素p > 0.38) 发现偏好没有显著差异.
结论:
- 面对面的沟通是提供乳腺癌活检结果的首选方法,无论患者的健康素养如何.
- 虽然电话可能足以获得良性结果,但对于癌症诊断建议进行面对面的讨论,以符合患者的偏好.
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