从社区到规模:利用社区参与来开发和验证患者知情的癌症传播规模
Lauren M Hamel1, Diliara Bagautdinova1, Bill Winkler2
1Wayne State University Department of Oncology/Karmanos Cancer Institute, 4100 John R, Detroit, MI MM03CB, USA.
Patient education and counseling
|January 17, 2025
概括
这项研究开发了患者知情癌症沟通量表 (PICCS) 与各种癌症幸存者. 该PICCS工具可靠地评估黑白癌症患者的医生沟通质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者与医生的沟通 患者与医生的沟通
- 健康差异 在健康上的差异
背景情况:
- 临床沟通中的种族差异是显著的.
- 现有的沟通评估工具往往缺乏来自不同患者群体的投入.
- 以患者为中心的沟通对于优质的癌症护理至关重要.
研究的目的:
- 开发和验证一个评估医生以患者为中心沟通的工具.
- 与黑白癌症幸存者,护理人员和倡导者合作.
- 解决在瘤学中对文化相关沟通评估的需求.
主要方法:
- 一个由11名黑白癌症幸存者,护理人员和倡导者的小组与研究人员合作.
- 视频记录的患者与医生的互动被分析,以确定关键的沟通行为.
- 22项患者知情癌症沟通量表 (PICCS) 通过因子分析和与现有量表的相关性来开发和验证.
主要成果:
- 因子分析揭示了五个关键的沟通结构:治疗选择,临床关系,预后和治疗目标,解释和背景.
- PICCS显示出可靠性和有效性,与患者积极参与度和医生沟通质量相关.
- 规模的特定因素与既有评估工具有显著的相关性.
结论:
- 社区参与的研究成功地产生了一种可靠和有效的尺度 (PICCS) 来评估医生与各种癌症患者的沟通.
- 可以进一步验证PICCS用于培训和评估瘤学中医生的沟通技巧.
- 这种工具有可能改善不同癌症患者群体的沟通质量.
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