需要评估,以帮助决策口腔癌需要重大切除和重建
David Forner1, Victoria Taylor2, Martin Corsten2
1Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
概括
患有晚期口腔癌的患者需要更好的共享决策工具. 改进的工具可以减少决策冲突,并提高患者对复杂癌症治疗的理解.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者的决策制定 患者的决策
背景情况:
- 先进的口腔癌治疗涉及改变生命的手术,平衡生存与生活质量.
- 共享决策 (SDM) 是至关重要的,但当前的做法需要审查.
- 在这种患者群体中,对有效的决策支持工具的需求是显著的.
研究的目的:
- 描述当前的口腔癌患者的共同决策实践.
- 确定以患者为中心的需求,以改善决策支持工具.
主要方法:
- 从2020年到2023年,在加拿大两个学术中心进行了一项融合混合方法研究.
- 对37名患者的半结构面试进行了主题分析.
- 质量数据与测量SDM,决策冲突和自我有效性的验证仪器相结合.
主要成果:
- 影响决策的关键主题包括信息传递,术前经验,知识差距和对癌症的恐惧.
- 18.9%的患者经历了显著的决策冲突,尽管高的自我效能.
- 较高的SDM感知和决策自我有效性与较低的决策冲突相关.
结论:
- 调查结果强调了需要加强,整合决策支持工具的必要性.
- 改进的工具应该是可访问的,提供治疗时间表,并促进临床医生和患者之间的沟通.
- 这些工具可以赋予患者权力,并在先进的口腔癌护理中优化共享决策.
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