探索头瘤学共享决策的现状:评估治疗沟通
Anne N Heirman1, Song L L Duimel2, Roosmarijn S Tellman1
1Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Patient education and counseling
|March 15, 2025
概括
外科医生和患者高估了头部和部瘤学中共享决策 (SDM). 观察到的SDM水平低于感知,突出需要更好地将患者价值纳入咨询.
科学领域:
- 在瘤学瘤学.
- 医学教育 医学教育
- 健康心理学 心理健康心理学
背景情况:
- 在瘤学中,共享决策 (SDM) 对于将治疗与患者价值观保持一致至关重要.
- 之前的研究表明,在临床实践中,感知和实际SDM之间存在差距.
研究的目的:
- 评估SDM在头部和部 (HN) 瘤咨询中的程度.
- 为了比较外科医生和患者之间感知和观察到的SDM水平.
- 探索患者参与SDM及其与观察到的SDM的关联.
主要方法:
- 使用SDM-Q-9和SDM-Q-Doc来感知SDM和患者参与.
- 通过使用OPTIONmcc+仪器对观察到的SDM进行了分析,对42个录音HN瘤诊断进行了分析.
- 采用单变量线性分析来识别与观察到的SDM的关联.
主要成果:
- 平均感知SDM得分很高 (外科医生74.4%,患者71.1%).
- 观察到的OPTION中位数得分是中度的 (外科医生48%,患者42%,护理人员24%).
- 咨询时间和患者的OPTION分数与外科医生的OPTION分数正相关.
结论:
- 外科医生和患者倾向于高估HN瘤学的SDM水平.
- 需要更一致地解决患者的目标,价值观和偏好.
- 研究结果支持加强外科医生的培训,以提高SDM技能和融入医学教育.
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