从负担到赋权. 从负担到赋权. 患者报告的参与共享决策的影响因素在瘤学,一个元研究
L Mertens1, H Wildiers2, H Van Veenendaal3
1Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Psycho-oncology
|July 15, 2025
概括
患者报告的障碍,如高负担和低自我有效性,阻碍了参与瘤学共享决策 (SDM). 支持和准备可以使患者能够更有效地参与SDM.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 在瘤学中对于以患者为中心的护理至关重要.
- 了解患者报告的障碍和促进者对于优化SDM至关重要.
- 以前的文献评论没有全面综合患者对癌症护理中SDM的观点.
研究的目的:
- 提供文献概述患者报告的障碍和促进者参与共享决策 (SDM) 在瘤环境.
- 从患者的角度确定影响患者参与SDM的关键主题.
主要方法:
- 采用了定性元总结方法,从90项研究的更大审查中选择了22篇文章.
- 研究调查了患有瘤疾病的患者,使用了调查,采访和焦点小组等方法.
- 搜索术语侧重于决策,患者参与和患者的看法.
主要成果:
- 确定了33个独特的障碍和促进SDM参与的方便者.
- 六个主要主题出现了:"高负担"",低自我参与效率"",提供明确的信息"",社会支持"",医生支持"和"教育,准备和自信".
- 决策和情绪负担显著挑战患者的自我效能和参与SDM.
结论:
- 瘤学中的高患者负担可能会破坏共享决策的自我有效性.
- 提供足够的支持,明确的信息和准备可以使患者克服障碍并参与SDM.
- 将这些见解整合到SDM战略中,有助于促进各种患者群体在瘤治疗中的平等和包容性.
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