实施中的紧张局势:肺癌查的混合方法评估 艾滋病毒感染者的共同决策援助
Nicholas R Murphy1,2, Madison Snidarich2, Jehan Z Budak1
1University of Washington, Seattle, WA, USA.
Health promotion practice
|December 9, 2025
概括
针对艾滋病毒感染者 (PWH) 的肺癌查 (LCS) 决策辅助工具得到了好评,但突出了实施紧张局势. 需要进一步适应,以优化共享决策 (SDM) 对这一群体.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 艾滋病毒感染者 (PWH) 面临肺癌风险升高,但肺癌查 (LCS) 在这一群体中仍未得到充分研究.
- 之前开发的共享决策 (SDM) 援助,适用于PWH,在增强LCS知识方面表现出有效性.
研究的目的:
- 进行混合方法评估,对PWH中LCS的HIV适应SDM援助的实施进行混合方法评估.
- 识别实施紧张局势,并为优化SDM在这个群体中的战略提供信息.
主要方法:
- 一种混合方法的方法,涉及LCS符合条件的PWH.
- 40名参与者在SDM访问期间审查了定制的决策辅助工具,完成了前/后调查.
- 15名参与者进行了半结构面试,并使用健康公平实施框架进行了主题分析.
主要成果:
- 为了解释LCS风险/收益,SDM援助通常被批准.
- 关键的实施紧张局势包括平衡临床医生的信任与患者自主,个性化护理,解决系统障碍,管理对查信息的情绪反应,不同的临床医生偏好和各种戒烟动机.
结论:
- 调整后的SDM援助得到了PWH的好评.
- 决策辅助和沟通策略的代调整对于优化艾滋病毒感染者的SDM和LCS吸收至关重要.
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