在胰腺癌中共同决策:一个范围审查
Patrick L Quinn1, Shah Saiyed2, Aslam Ejaz3
1The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Patient education and counseling
|May 18, 2025
概括
胰腺癌 (PC) 患者经常觉得自己没有参与他们的护理,并且被信息所压倒. 改善共享决策 (SDM) 对于更好的患者结果至关重要.
科学领域:
- 在瘤学瘤学.
- 患者护理 患者护理
- 健康心理学 心理健康心理学
背景情况:
- 共享决策 (SDM) 对于以患者为中心的癌症护理至关重要.
- 关于SDM,专门针对胰腺癌 (PC) 患者的文献有限.
研究的目的:
- 系统地审查和绘制关于胰腺癌患者SDM的现有文献.
- 确定PC患者在决策过程中面临的共同主题和挑战.
主要方法:
- 在PubMed,Scopus,Embase和PsycINFO数据库中进行全面的文献搜索.
- 纳入标准集中在测量或干预PC患者SDM的研究上.
- 分析了16项选定的研究 (横截面,混合方法,定性,实验).
主要成果:
- 显著的一小部分PC患者报告说,他们觉得自己没有参与他们的治疗决策.
- 患者经常在咨询期间遇到信息过载,并努力理解治疗选择.
- 实验性干预显示出混合的结果,突出了改善SDM的复杂性.
结论:
- PC患者经常缺乏参与他们的护理,这凸显了SDM的差距.
- 未来的研究应该优先考虑患者赋权,角色一致性和增强信息传递.
- 需要开发和测试干预措施,以改善PC患者的SDM过程.
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