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探索癌症老年患者及其护理人员的决定性控制偏好
Sofiia Hryniv1, Elizabeth Gilbride1, William Consagra2
1Division of Hematology/Oncology, Department of Medicine, James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Journal of geriatric oncology
|December 13, 2025
概括
了解患者和护理人员对癌症治疗决策的偏好至关重要. 大多数患有癌症的老年人和他们的护理人员都希望获得详细的信息,并参与决策的不同程度.
科学领域:
- 老年瘤学 老年瘤学
- 健康决策的制定方法
- 患者-护理人员的动态.
背景情况:
- 患有癌症的老年人面临复杂的治疗决策.
- 护理人员在支持决策方面发挥着重要作用.
- 了解对信息和决策控制的偏好至关重要.
研究的目的:
- 探索老年癌症患者及其护理人员的决策控制和信息偏好.
- 检查与这些偏好的一致性相关的因素.
- 了解护理人员在支持患者决策中的作用.
主要方法:
- 利用了来自全国老年病评估 (GA) 集群随机试验的数据.
- 使用控制偏好尺度 (CPS) 测量了二级决策控制偏好.
- 评估一致性和信息偏好,使用后勤回归分析社会人口统计学,临床和医生因素.
主要成果:
- 共有332名患者 (≥70名患有无法治愈的癌症的患者和护理人员) 参与了这项研究.
- 患者-护理人员一致性为患者角色CPS的46%和护理人员角色CPS的54%.
- 大多数患者和护理人员更喜欢最详细的关于患者疾病的信息;基线因素没有预测一致性.
结论:
- 临床医生应该评估患者和护理人员的偏好.
- 根据个人决策控制和信息需求量身定制支持至关重要.
- 优化共享决策需要了解这些双向偏好.
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