导航选择:了解局部癌患者的决策过程
Katharina Beyer1,2, Lionne D F Venderbos1, Monique J Roobol1
1Department of Urology, Erasmus MC Cancer Institute Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
BJU international
|January 8, 2025
概括
患有局部癌的患者希望参与治疗决策,但由于情绪压力,他们发现这是具有挑战性的. 加强共享决策 (SDM) 需要弥合研究和临床实践之间的差距,以获得更好的以患者为中心的护理.
科学领域:
- 在瘤学瘤学.
- 患者体验研究 研究研究
- 健康心理学 心理健康心理学
背景情况:
- 局部癌治疗决策涉及复杂的患者因素.
- 患者参与治疗决策是以患者为中心的护理的一个关键方面.
研究的目的:
- 探索患者对局部癌治疗决策的经验和观点.
- 确定障碍和促进患者积极参与治疗选择的障碍和促进者.
主要方法:
- 这项定性研究涉及三个国家21名局部癌患者.
- 通过四个重点小组和七个半结构面试收集的数据,每次持续约2小时.
- 主题分析用于确定患者决策经验中的关键主题.
主要成果:
- 所有参与者都希望积极参与治疗决策.
- 癌症的情绪影响和时间限制使积极参与成为一个挑战.
- 出现了12个关键主题,包括诊断途径,患者赋权,健康素养,信任,共享决策 (SDM) 和专业互动.
结论:
- 对于局部癌患者的决策是复杂的,有强烈的参与和共享决策 (SDM) 的愿望.
- 关于以患者为中心的护理的研究建议与当前的临床实践之间存在很大的差距.
- 将研究成果转化为临床应用对于改善瘤学中以患者为中心的护理至关重要.
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