关于与成人患者共享决策的干预研究,用于癌症患者的治疗:系统性审查和元分析
Chi-Kun Hsieh1, Tsung-Mu Wu2, Chien-Chieh Wang1
1Chi Mei Medical Center, Tainan City, Taiwan.
Medicine
|September 17, 2025
概括
共享决策 (SDM) 干预措施显著改善了成人癌症患者的知识和满意度. 这些方法也有效地减少了决策后悔和冲突,使患者在他们的治疗选择中获得权力.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 基于证据的实践.
背景情况:
- 患者的自主性在治疗决策中至关重要.
- 共享决策 (SDM) 在各种疾病中是有益的,但在成人癌症患者中还没有充分研究.
- 现有的研究往往侧重于儿科或老年癌症患者群体.
研究的目的:
- 综合了成年癌症患者SDM干预研究中的发现.
- 评估SDM对患者知识,决策满意度,冲突和遗憾的影响.
主要方法:
- 在PubMed,CINHAL和Web of Science数据库进行系统搜索,截至2023年6月.
- 包括涉及成人癌症患者 (18岁以上) 的受控试验.
- 使用Cochrane风险偏差工具进行质量评估.
主要成果:
- 与1505名参与者的8项研究符合标准.
- SDM干预措施,包括每周的作业,视频和小册子,改善了治疗偏好一致性.
- 在患者满意度,知识和减少决策后悔和冲突方面,观察到有统计学意义的改善.
结论:
- 以各种形式提供的SDM干预措施对成年癌症患者的满意度和知识产生了积极的影响.
- 在这个人群中,SDM有效地减少了决策后悔和冲突.
- 需要标准化的评估工具来进一步完善SDM干预的有效性.
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