"什么是胜利":一项定性研究探讨了外科医生在非治疗性癌症手术中的手术意图的观点
Orly N Farber1,2, Amanda J Reich2, Kenneth Williams2,3
1Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Annals of surgery
|May 22, 2025
概括
外科医生旨在通过澄清非治愈性癌症手术中的目标和不确定性,与患者保持一致. 这种方法优先考虑改善晚期癌症患者的寿命和生活质量.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者沟通 患者沟通
背景情况:
- 非治愈性手术旨在改善晚期癌症患者的寿命或生活质量.
- 对手术目标的准确沟通对于明智的患者决策至关重要.
- 外科医生对沟通非治愈意图的看法并未得到充分理解.
研究的目的:
- 探讨外科医生对传播晚期癌症的非治疗性手术的看法.
- 确定外科医生在讨论关注寿命和生活质量的治疗方法时的优先事项.
- 了解外科医生如何在非治疗性环境中传达预后不确定性.
主要方法:
- 使用半结构面试对美国各地18名癌症外科医生的定性研究.
- 采访使用案例情景来探索外科医生的观点和沟通偏好.
- 为了分析采访数据,采用了诱导性主题分析.
主要成果:
- 外科医生认为非治愈性手术的目标是预防病变的进展,增长寿命和改善生活质量.
- 晚期癌症发展轨迹的预后不确定性会影响手术决策.
- 外科医生优先澄清治疗意图,并披露不确定性,以与患者保持一致.
结论:
- 对于讨论晚期癌症的非治愈性手术目标,有一个范式.
- 预后不确定性显著影响癌症外科医生的沟通策略.
- 有效的沟通包括澄清意图,并承认患者和外科医生对准的不确定性.
关键词:
通信 通信 通信 通信 通信.治愈性的 治愈性的这是不可挽回的,不可挽回的.转移性转移性 转移性非治愈性的非治愈性行动的意图是行动的意图.缓和的缓解方式质量上的影响是有质量的.治疗意图 治疗意图不确定性是一种不确定性.更多相关视频
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