为患有转移性乳腺癌的妇女共同创建和完善价值评估工具 (VAsT)
Lorinda A Coombs1,2, Victoria Crowder1, Madison Black3
1University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina, USA.
了解患者价值对于转移性乳腺癌 (mBC) 治疗至关重要. 一个新的工具可以帮助患者向临床医生传达生活质量和副作用管理等优先事项,以便更好地协调护理.
科学领域:
- 在瘤学瘤学.
- 以患者为中心的护理
- 卫生沟通健康沟通
背景情况:
- 患者和家庭对转移性乳腺癌 (mBC) 治疗目标的看法往往不同.
- 系统地引出患者和护理伙伴价值观对于价值观一致的治疗决策至关重要.
- 需要有效地向临床医生传达患者的优先事项.
研究的目的:
- 为开发价值评估工具提供信息.
- 促进与瘤临床医生沟通患者的优先事项和偏好.
- 为了支持mBC中的值调整的治疗决策.
主要方法:
- 两轮半结构面试与被诊断患有mBC的妇女进行.
- 招聘强调多样性,至少有50%的参与者认为自己是种族或族裔少数群体.
- 采访数据分析确定了与治疗决策相关的关键领域.
主要成果:
- 确定了与mBC治疗决策相关的九个最终领域.
- 这些领域包括:不看起来生病,通过研究帮助他人,财务问题,照顾责任,性,生活质量,尽量减少预约,管理副作用和减缓疾病进展.
- 参与者的价值观涵盖了广泛的个人和医疗优先事项.
结论:
- 在多个领域引起和传达患者价值观是以患者为中心护理的关键.
- 一个价值评估工具正在开发中,以帮助mBC患者向临床医生表达他们的价值观.
- 未来的研究将试点使用该工具,以评估其对患者和临床医生的沟通和健康结果的影响.
更多相关视频
10:32Combined Use of Tail Vein Metastasis Assays and Real-Time In Vivo Imaging to Quantify Breast Cancer Metastatic Colonization and Burden in the Lungs
Published on: December 19, 2019
08:32Using Computer-based Image Analysis to Improve Quantification of Lung Metastasis in the 4T1 Breast Cancer Model
Published on: October 2, 2020
相关概念视频
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
The Sense of Self: Reflected Self-Appraisal and Social Comparison
Formulating and Validating Nursing Diagnosis II
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Formulating and Validating Nursing Diagnosis I
There are thirteen domains...
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
