"这听起来非常消极"
Courtney Andrews1, Valerie M Lawhon1, Kimberly Wiseman2
1University of Alabama at Birmingham.
Communication & medicine
|February 7, 2025
概括
患有早期乳腺癌 (EBC) 的患者不喜欢化学疗法试验的"降级"一词. 他们更喜欢积极的语言,反映优化治疗,而不是减少护理,以便更好地共享决策.
科学领域:
- 在瘤学瘤学.
- 临床试验设计 临床试验设计
- 以患者为中心的沟通
背景情况:
- 癌症研究的进展使得早期乳腺癌 (EBC) 的化疗强度降低.
- 目标是保持无复发的生存率,同时最大限度地减少治疗毒性.
- 临床试验对于确定最佳的,不那么强烈的化疗剂量至关重要.
研究的目的:
- 评估患者和倡导者对EBC临床试验中的"降级"术语的反应.
- 确定用于描述减少化疗方法的首选术语.
- 改善关于治疗选择的沟通和共享决策.
主要方法:
- 通过内容分析进行了患者调查和编码采访.
- 分析了参与者对"降级"一词及其内涵的反应.
- 收集了关于患者偏好的见解,用于描述治疗优化.
主要成果:
- 参与者对"降级"一词做出了负面反应,将其与"放弃"联系起来.
- 确定了对积极,以患者为中心的语言的偏好.
- 负面反应强调需要谨慎的沟通策略.
结论:
- "降级"一词可能会阻碍患者的入学和对EBC临床试验的理解.
- 使用积极的,以患者为中心的语言对于有效的沟通至关重要.
- 改进的术语可以防止治疗误解,并支持共享决策.
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