在老年瘤学中探索家庭观点:共享决策的三元方法 - - 定性研究
Bea L Dijkman1,2, Marie Louise Luttik3, Wolter Paans3
1Department of Surgery, University of Groningen, University Medical Center Groningen, P.O. box 30.001, Groningen, 9700 RB, The Netherlands. b.l.dijkman@umcg.nl.
BMC geriatrics
|November 22, 2025
概括
支持老年癌症患者的家庭成员需要做出复杂的决策,平衡个人观点与患者的偏好和家庭动态. 了解这些角色对于有效的共享决策 (SDM) 和以患者为中心的护理至关重要.
科学领域:
- 老年瘤学 老年瘤学
- 癌症护理 癌症护理
- 家庭医学 家庭医学 家庭医学
背景情况:
- 家庭成员是老年瘤学不可或缺的一部分,提供支持并参与共同决策 (SDM).
- 了解家庭动态至关重要,因为SDM往往超出临床环境.
- 家庭参与影响治疗决策,使其与患者价值观保持一致.
研究的目的:
- 探讨家庭成员在老年患者癌症治疗决策中的参与方面的经验和观点.
- 调查这种参与对家庭角色和动态的影响.
主要方法:
- 这项定性研究涉及荷兰70岁以上的11名癌症患者的16名家庭成员.
- 数据是通过公开的,深入的采访收集的.
- 用于定性数据解释的专题分析方法.
主要成果:
- 出现了四个主题:"角色" (实践/信息支持,倡导),"家庭价值观和信仰" (无条件支持),"家庭动态" (沟通,任务划分,情绪管理) 和"困境" (平衡个人/患者的观点,希望/恐惧,信任,个人/护理需求).
- 困境受到假设的角色,家庭价值观和动态的影响.
- 家庭成员积极参与决策,面临多方面的挑战.
结论:
- 家庭成员在老年患者的癌症治疗决策中扮演着复杂的角色,受到价值观和动态的影响.
- 医疗保健专业人员必须了解这些不断变化的护理人员责任.
- 支持家庭对于导航治疗决策至关重要,同时尊重患者的自主权.
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