患者对癌症护士作为护理人员的偏好:对离散选择实验的系统审查
Elise Button1, Carla Thamm1, Megan Crichton2
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Journal of advanced nursing
|November 21, 2025
概括
患有癌症的人更喜欢癌症护士提供支持性护理,癌症医疗专家或护士提供后续护理. 这突显了癌症护士在以患者为中心的癌症护理服务中的价值.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者的偏好 患者的偏好
背景情况:
- 有限的研究存在于患者对癌症护理提供者的偏好,当交易是必要的.
- 了解这些偏好对于优化癌症护理和资源配置至关重要.
研究的目的:
- 综合从离散选择实验和最佳-最差缩放研究中关于患者对癌症护理提供者的偏好的研究结果.
- 确定癌症患者的护理提供属性的相对重要性.
- 探索与首选提供商相关的支付意愿估计.
主要方法:
- 在多个数据库 (CINAHL,Cochrane,EconLit,Medline,PsycINFO,Scopus,Web of Science,Google Scholar) 中进行了系统的文献搜索.
- 包括2025年1月至7月期间发表的研究,使用离散选择实验或最佳-最差缩放.
- 数据被提取并由两个独立的审稿人叙述合成.
主要成果:
- 包括11项涉及乳腺癌,胃癌,前列腺癌或混合癌症患者的研究.
- 对于后续护理,癌症医学专家是首选,其次是癌症护士,然后是全科医生.
- 癌症护士是支持性护理的首选提供者 (例如,生活方式建议,心理健康查).
- 支付意愿的估计表明,专家后续护理的价值更高 (226.15美元) 与护士主导的支持性护理 (137.52美元) 相比.
结论:
- 癌症护士受到高度重视,特别是在提供支持性护理方面.
- 有机会扩大癌症护士专家的实践范围.
- 将护理提供与患者偏好保持一致,特别是随访和支持性护理,可以提高患者的满意度和结果.
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