在肺癌查决策中,将患者对共享决策的看法与满意度联系起来
Stephanie A Robinson1,2, Anna M Barker1, Gemmae M Fix1,3
1Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.
概括
在肺癌查 (LCS) 讨论中,高质量的共享决策 (SDM) 显著提高了患者对查决策的满意度. 改善SDM流程可以提高患者的参与度和对LCS的坚持.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌是一个重大的健康问题,特别是在美国退伍军人身上.
- 肺癌查 (LCS) 可以降低死亡率,但需要共享决策 (SDM) 进行知情的患者选择.
- SDM质量对患者对LCS决策的满意度的影响尚未完全理解.
研究的目的:
- 评估美国退伍军人对LCS SDM质量的看法.
- 检查认知SDM质量与对LCS决策的满意度之间的关系.
主要方法:
- 在VA新英格兰医疗保健网络LCS后的对话中,对退伍军人进行了调查.
- 使用CollaboRATE测量SDM质量;使用决策满意度评价决策满意度.
- 一般化的线性模型分析了SDM质量与决策满意度之间的关联,控制共变量.
主要成果:
- 在220名退伍军人回忆LCS中,34.0%的人认为高质量的SDM.
- 感知到更高的SDM质量与更高的决策满意度显著相关 (26.75对比24.23在30分级;P<0.001).
- 接受教育材料的患者报告认为SDM质量更高 (44.4%对27.7%;P = 0.018).
结论:
- 在LCS讨论中感知到的SDM质量的提高与患者满意度的增加有关.
- 改善SDM流程对于患者参与至关重要,可能改善LCS遵守和健康结果.
- 虽然患者教育材料与更好的SDM感知有关,但需要进一步优化其交付和集成到SDM中.
相关概念视频
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:27Nursing Ethical Principles II
936
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
936
02:45Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
01:21Cancer Survival Analysis
334
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...
334
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K