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在接受放射治疗的头癌患者的决定后悔
Anna-Maria Tews1, Andreas Hinz2,3, Valentin Magnus1
1Department of Radiation Oncology, University Medical Center Leipzig, Leipzig, Germany.
Clinical and translational radiation oncology
|July 17, 2025
概括
超过三分之一的头癌患者经历治疗后的高决策后悔. 改善共享决策对于减少遗憾和改善患者结果至关重要.
科学领域:
- 在瘤学瘤学.
- 患者报告的结果
- 共享的决策方式
背景情况:
- 头癌治疗涉及复杂的选择,具有类似的瘤结果.
- 对这些治疗决策进行导航的患者来说,遗憾的决定是一个重大问题.
- 共享决策 (SDM) 是一个解决患者偏好和担忧的框架.
研究的目的:
- 为了确定头癌患者决策后悔的流行程度.
- 在这个人群中确定与决策后悔相关的风险因素.
- 评估治疗决策对患者报告结果的影响.
主要方法:
- 采用了横截面的观察性研究设计.
- 192名为头癌接受治疗性放射治疗的患者完成了决定后悔量表 (DRS).
- 评估了患者报告的结果,包括与健康相关的生活质量 (HRQoL),痛苦,焦虑,抑郁和恐惧进展 (FoP).
主要成果:
- 39%的患者表示对决策感到遗憾 (DRS分数>25).
- 决策后悔与更差的HRQoL,更高的痛苦,焦虑,抑郁和FoP有显著的相关性.
- 较差的ECOG状态,较低的HRQoL和较高的FoP是决定后悔的独立预测因素.
结论:
- 很大一部分头癌患者经历了高决策后悔.
- 这些发现强调了强有力的共享决策过程的重要性.
- 旨在减轻决策后悔的干预措施在头瘤护理中是必要的.
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