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与耳鼻喉科医生和口腔腔癌息治疗专家共同决策
Hsien-Liang Huang1, Shao-Yi Cheng1, Jaw-Shiun Tsai1
1Department of Family Medicine, National Taiwan University Hospital, Taipei City, Taiwan.
JAMA network open
|December 11, 2025
概括
与耳鼻喉科医生和息护理专家 (SOP) 共同决策模式增加了高级口腔癌患者的息护理使用. 这种方法可以提高终身护理的质量,及时整合息护理.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 先进的口腔癌显著影响患者的生活质量,需要早期的息护理整合.
- 获得息治疗的机会有限,往往导致推迟到,未能有效地解决患者负担.
研究的目的:
- 评估与耳鼻喉科医生和息护理专家 (SOP) 的共享决策模式是否提高了晚期口腔癌患者的息护理利用率.
- 评估SOP模型对生命结束前及时参与息护理的影响.
主要方法:
- 一项前性队列研究比较了在耳鼻喉科诊所实施SOP模型之前和之后的结果.
- 包括新诊断的第四阶段口腔癌患者,同时接受化学放射治疗 (n=110).
- 该SOP模型涉及结构化的"选择谈话"",选择谈话"和"决策谈话"阶段.
主要成果:
- 与通常护理组相比,SOP模型组的多学科息护理咨询频率明显高 (β=0.49,P=.01).
- 多变量线性回归分析证实了SOP模型与增加的息护理服务利用率之间的联系.
结论:
- 实施SOP模型与改善对先进口腔癌患者多学科息护理服务的利用有关.
- 更广泛地采用SOP模型可以提高及时获得息护理的机会,并改善这种患者群体的终身护理质量.
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