了解医生对肺癌护理患者报告结果措施 (PROM) 的看法:一种定性方法
Abel García Abejas1,2, João Marques Gomes3, Maria Eduarda Andrade4
1Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal abel.abejas@fcsaude.ubi.pt.
患者报告的结果措施 (PROM) 可以提高肺癌护理,但医生面临整合这些措施的挑战. 解决患者的健康素养,数字接入和社会经济因素是有效实施的关键.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 患者报告的结果测量 (PROM) 对于个性化肺癌护理和改善患者生活质量至关重要.
- 将PROM整合到临床实践中存在重大挑战.
- 医生对PROMs在肺癌护理中的影响,障碍和促进者的看法需要探索.
研究的目的:
- 了解医生对PROMs在提高肺癌患者生活质量,尊严和自主权方面的看法.
- 确定将PROM纳入肺癌临床实践的障碍和促进因素.
主要方法:
- 与治疗肺癌患者的医生进行了16次半结构面试.
- 采用混合主题分析来识别医生认知中的关键主题和模式.
主要成果:
- 医生们认识到PROM在改善患者护理方面的价值,但注意到患者健康素养,数字素养和社会经济因素等障碍.
- 关键主题包括患者相关因素 (健康素养,痛苦),社会/家庭影响以及PROM在临床决策中的作用.
结论:
- PROMs是以患者为中心的肺癌护理的途径.
- 成功的PROM整合需要克服与健康素养,数字接入和多学科合作有关的障碍.
- 未来的研究应该集中在将PROM整合到常规临床工作流程中的有效策略上.
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