建立信任和支持低风险前列腺癌积极监测的多层次因素:一种定性研究
Jason C Chen1,2, Lalita Subramanian3, Ted A Skolarus4
1Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. jasonchn@med.umich.edu.
Journal of general internal medicine
|January 27, 2025
概括
低风险前列腺癌的积极监测需要遵守后续检测. 改善遵守包括增强患者的信心,提供心理社会支持,并优化医疗保健系统.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 积极监测 (AS) 是指南推的低风险前列腺癌的方法.
- 遵守AS,包括后续测试和保持监视,带来了挑战.
研究的目的:
- 了解提供者和患者与AS护理交付的经验.
- 确定改善遵守主动监视的机会.
主要方法:
- 定性研究涉及19名PCP,15名泌尿科医生和15名AS患者.
- 半结构面试以理论领域框架和行为变化轮为指导.
- 专题分析以确定关于AS护理的共同观点.
主要成果:
- 通过提供者的专业知识和沟通,建立患者对AS的信心.
- 通过心理社会支持增强AS的信心,包括家庭和同龄人的参与.
- 在医疗保健流程和电子健康记录中整合AS支持.
结论:
- 需要在护理团队,社区和卫生系统层面进行干预.
- 基于团队的方法可以改善个性化护理和AS坚持.
- 解决AS护理方面的挑战对于患者的治疗结果至关重要.
相关概念视频
Cancer Survival Analysis
324
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
324
Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
Cancer Vaccines
330
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
330


