早期乳腺癌治疗的共享决策:一种进化概念分析
Heemin Chae1, Hee-Ju Ji1, Hyunjung Moon1
1Department of Nursing, The Graduate School, Chung-Ang University, Seoul, Republic of Korea.
Asia-Pacific journal of oncology nursing
|September 8, 2025
概括
早期乳腺癌护理的共享决策 (SDM) 由患者,专业和系统层面的10个属性来澄清. 这一框架增强了协作瘤治疗选择.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
背景情况:
- 对共享决策 (SDM) 的明确定义对于其在瘤学中的有效实施至关重要.
- SDM定义的模糊性可能会阻碍其在患者护理中的应用,特别是在复杂的治疗场景中.
研究的目的:
- 澄清共享决策 (SDM) 的概念,特别是在早期乳腺癌治疗的背景下.
- 在这个患者群体中建立SDM的综合概念框架.
主要方法:
- 从2015年1月到2024年12月,在主要数据库 (PubMed,CINAHL,PsycINFO,Cochrane,EMBASE) 进行了系统的文献搜索.
- 使用的关键词:"共享决策"和"乳腺癌".
- 使用进化概念分析从16项纳入研究中提取和合成SDM的关键属性.
主要成果:
- 乳腺癌早期治疗中的SDM是由10个属性定义的,分为三个层次:患者 (参与,价值观,确定性),医疗保健专业人员 (信息,支持,协作,协调) 和医疗保健系统 (以患者为中心的文化).
- 识别的属性为SDM在这种特定的瘤学背景下提供了多方面的理解.
结论:
- 该研究提供了一个概念框架,用于指导为早期乳腺癌患者制定量身定制的SDM指南.
- 更好地了解SDM有助于医疗保健专业人员促进协作决策和开发测量工具,以改善瘤护理的实施.
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