探索癌症治疗拒绝的行为动机:一个Q-方法方法的方法
Ruby-Koyllor A Gleeson1, Nicolas H Hart2,3,4,5,6, Darren Haywood2,7,8,9
1School of Population Health, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
概括
了解为什么癌症患者拒绝接受治疗对于改善护理至关重要. 包括感知风险,年龄和信仰在内的各种因素影响这些决定,需要个性化支持策略.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 定性研究是指质量研究.
背景情况:
- 拒绝癌症治疗与较差的生存率和症状增加有关.
- 阐明拒绝治疗的行为动机对于改善患者护理至关重要.
研究的目的:
- 在被诊断患有癌症的个体中,探索癌症治疗拒绝背后的各种行为动机.
主要方法:
- 采用Q-方法,一种混合方法的方法.
- 招募了来自澳大利亚,英国和美国的39名参与者,他们拒绝接受癌症治疗.
- 利用在线人口调查问卷和涉及44项陈述的Q排序活动,然后进行反向因子分析.
主要成果:
- 确定了八个不同的因素,解释了66%的治疗拒绝动机变异.
- 关键的动机包括感知治疗风险,年龄,宗教/精神信仰,对自然愈合的渴望和预后的担忧.
- 对医疗系统的不信任并不是研究组的主要动机.
结论:
- 认可影响癌症治疗拒绝决定的各种动机.
- 强调医生需要了解个体患者的考虑.
- 建议在未来研究动机和开发以人为中心的策略,以促进基于证据的癌症治疗.
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