探索癌症老年人的脆弱性:旅程映射患者报告的结果衡量措施
Jae-Yung Kwon1,2, Melissa Moynihan1,3, Catherine Webster1,4
1School of Nursing, https://ror.org/04s5mat29University of Victoria, Victoria, BC, Canada.
概括
患者报告的结果测量 (PROMs) 可能无法完全捕捉患有癌症的老年人脆弱的复杂性. 整合患者叙述提供了一个更全面的方法来评估和规划治疗癌症患者的脆弱性.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 质量健康研究 质量健康研究
背景情况:
- 患有癌症的老年人的虚弱是一种复杂的,动态的疾病,在临床实践中经常被忽视.
- 准确的脆弱性评估对于有效的护理规划和管理在这个人群中至关重要.
研究的目的:
- 探索癌症老年人的脆弱生活经验.
- 调查患者报告结果测量 (PROM) 和旅程映射在评估随时间推移的脆弱性的有用性.
- 了解定量脆弱性得分与患者个人叙述之间的差异.
主要方法:
- 这是一项定性研究,涉及11名65岁以上的癌症患者.
- 参与者完成了综合脆弱性评估工具 (CFAI) 和半结构面试.
- 创建了个人旅程地图,将CFAI分数与个人叙述集成在一起,以可视化脆弱的变化.
主要成果:
- PROMs显示了虚弱严重程度的变化.
- 患者叙述揭示了与治疗相关的重大挑战,这些挑战并未完全反映在CFAI得分中.
- 常见的经历包括治疗期间和治疗后的疲劳,情绪困扰和社会隔离.
结论:
- 单靠患者报告的结果措施可能无法全面捕捉老年癌症患者的虚弱体验.
- 将叙事数据与定量措施相结合,为脆弱性评估提供了更加以人为本的方法.
- 这种方法可以提高护理规划和支持癌症经历脆弱的老年人.
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