探索乳腺癌护理中的共享决策
Neda Mahmoodi1, Georgina L Jones2, Tom Muskett2
1Leeds Beckett University.
Communication & medicine
|February 7, 2025
概括
乳腺癌治疗中的共享决策 (SDM) 往往由于会话动态阻碍了患者参与而失败. 临床医生 临床医生
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 医学社会学 医学社会学
- 谈话分析对话分析
背景情况:
- 共享决策 (SDM) 是偏好敏感护理的标准,比如乳腺癌治疗.
- 患者的经验揭示了临床医生的目标和患者在SDM中的赋权之间的差距.
- 了解对话动态对于有效的SDM至关重要.
研究的目的:
- 识别促进或阻碍乳腺癌治疗中SDM的交互特征和社会实践.
- 分析SDM在辅助乳腺癌咨询中的对话动态.
主要方法:
- 15个录音的辅助乳腺癌咨询的对话分析 (CA).
- 识别与SDM相关的反复相互作用模式.
主要成果:
- 语言暗示 (边界标记,修辞问题,认识学标记) 不鼓励患者参与.
- 错过了SDM的机会,导致了不理想的双向讨论.
- 互动实践没有促进真正的患者贡献,导致专家主导的决策.
结论:
- 乳腺癌治疗中的SDM并不像理论模型所暗示的那样具有协作性.
- 对话动态显著影响SDM的有效性.
- 需要进一步的研究来改善SDM实践和患者参与.
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