癌症胃肠道手术后患者的遗憾:一个叙事评论
Jacqueline E Fitzgerald1, Pierce Austin2, Olivia Monton3
1Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Journal of surgical oncology
|August 19, 2025
概括
胃肠癌手术后的术后遗憾与并发症和心理社会因素有关. 改善共享决策和外科医生信任可能会减少患者的遗憾.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者体验研究 研究研究
背景情况:
- 了解术后遗憾对于改善临床决策,患者沟通和满意度至关重要.
- 这篇评论审查了胃肠道 (GI) 癌症手术后患者遗憾的经历.
研究的目的:
- 评估有关影响成年患者经过肠道癌手术后术后悔因素的文献.
- 确定胃肠道癌症手术后患者后悔的关键决定因素.
主要方法:
- 在PubMed (开始至2024年7月1日) 中对英语文章进行叙事审查.
- 关键词包括:"胃肠道"",癌症"",手术"和"后悔".
- 包括的研究集中在决定性或术后遗憾的成年患者的胃肠道癌症.
主要成果:
- 五项研究符合纳入标准,分析了174篇最初选的文章.
- 术后并发症和心理社会并发症始终与遗憾有关.
- 与偏好一致的决策和外科医生信任被确定为与遗憾相关的潜在可修改因素.
结论:
- 术后遗憾受并发症,心理社会因素,共同决策和外科医生信任的影响.
- 未来的研究应该调查纵向的遗憾变化,并包括护理人员的观点.
- 开发基于证据的策略对于减轻胃肠道癌症治疗中的术后遗憾至关重要.
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