探索LARC和LRRC治疗的决策:一个定性研究
Anwen Williams1, Claire O'Neill2, Hayley Hutchings2
1Swansea University Medical School, Institute of Life Science 2, Swansea, UK; Department of Colorectal Surgery, Swansea Bay University Health Board, Singleton Hospital, Swansea, UK.
概括
患者和临床医生的优先事项在直肠癌手术决策上有所不同. 了解这些差异是改善手术前咨询和患者支持服务的关键.
科学领域:
- 癌症学
- 外科瘤学
- 以患者为中心的护理
背景情况:
- 结直肠癌的决策与患者的参与有所发展.
- 对于对于直肠癌的盆腔化 (PE) 决策复杂性的了解有限.
- 这项研究探讨了需要探索患者和临床医师在PE决策中的观点.
研究的目的:
- 探索患者和医疗保健专业人员 (HCP) 在直肠癌的骨盆外腔 (PE) 决策过程中至关重要的因素.
- 在治疗决策中确定患者和医疗人员优先级之间的差异.
- 为改善手术前咨询和支持服务提供信息.
主要方法:
- 未来的,横截面的,定性研究设计.
- 在五个英国中心与患者和医疗保健人员进行了深入的虚拟电话采访 (2020年1月至10月).
- 使用NVIVO 12进行面试成绩单的主题内容分析.
主要成果:
- 分析了33个采访 (25名患者,8名医疗人员).
- 六个主要主题出现:沟通,恢复,心理影响,人际关系,生活方式和支持.
- 医务人员优先考虑治疗期望,康复和心理影响,而患者的优先考虑更广泛.
结论:
- 在PE的决策过程中,患者和医疗人员的优先事项存在显著差异.
- 研究结果强调需要针对个体患者的手术前咨询.
- 为了满足患者的信息需求,建议在整个英国提供标准化的专用服务.
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