患有类风湿性关节炎和伴随癌症的患者的信念,偏好和信息需求:一种定性研究
Juan I Ruiz1, Sheneze T Madramootoo1, Maria A Lopez-Olivo1
1Department of Health Services Research, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1444, Houston, TX, 77030, USA.
患有类风湿性关节炎 (RA) 和癌症的患者希望了解RA药物对癌症的影响. 他们优先考虑RA治疗,即使不知癌症影响,并希望共享决策支持.
科学领域:
- 类风湿病学 类风湿病学
- 在瘤学瘤学.
- 患者为中心的护理
背景情况:
- 在癌症患者中使用生物性RA药物可能会使癌症结果恶化.
- 了解患者的观点对于安全有效的RA治疗以及癌症护理至关重要.
研究的目的:
- 确定RA患者癌症的信念,偏好和信息需求,以了解RA治疗对癌症的影响.
- 在这个复杂的临床场景中探索患者的担忧和决策过程.
主要方法:
- 与20名被诊断患有癌症的RA患者进行半结构面试.
- 对患者关于 RA 治疗的讨论,信仰和偏好进行演性的专题分析.
主要成果:
- 患者优先考虑RA症状管理,并对RA治疗对癌症的影响表示担忧.
- 大多数患者会继续进行RA治疗,即使其癌症影响是未知的.
- 关键的信息需求包括药物的疗效,副作用和与癌症治疗的相互作用.
结论:
- 这些发现有助于开发教育材料,用于癌症RA患者的共享决策.
- 解决患者对 RA 治疗和癌症的担忧对于改善护理和支持至关重要.
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