新的乳腺癌诊断对共享决策过程的二重体验:定性分析
Clizia Cincidda1,2, Serena Oliveri1,3,4, Valeria Sebri1
1Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, Italy.
患者与护理人员的关系对于乳腺癌患者来说至关重要. 与医疗保健提供者进行共享决策和开放沟通可以改善应对能力,减少焦虑,提高患者及其支持人员对治疗的理解.
科学领域:
- 癌症学
- 心理学
- 医疗保健研究
背景情况:
- 乳腺癌的诊断对患者及其护理人员产生重大影响.
- 双层经验涉及情感,信息和决策方面.
- 了解这种动态是支持性癌症治疗的关键.
研究的目的:
- 探索新确诊的乳腺癌患者及其照顾者的双重经验.
- 调查情绪反应,信息需求和共享决策.
- 确定患者护理人员对应能力和生活质量的因素.
主要方法:
- 与23位患者和护理人员进行半结构面试.
- 由专门从事临床和健康心理学的心理学家进行.
- 定性主题分析以确定核心主题.
主要成果:
- 患者与护理人员的关系是应对和治疗计划的核心.
- 通过共享信息,协商和共同决策,促进了团结,减少了焦虑,提高了相互理解.
- 对医疗服务提供者的信任至关重要;不同的情感挑战凸显了对个性化支持的需求.
结论:
- 患者和护理人员之间的关系是复杂而相互依赖的.
- 双方协调参与临床过程可以减少痛苦并提高生活质量.
- 一个以人为中心,关系型的护理模式承认二元作为一个单位是支持的.
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