在局部晚期胃癌患者中影响新辅助治疗决策的机制:基于太华决策支持框架的分析
Hui Zhao1, Qian Sun2, Xiaohan Jiang2
1State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Journal of surgical oncology
|February 10, 2026
概括
患者参与局部晚期胃癌的新辅助治疗决策受到就业,健康素养和社会支持等因素的影响. 了解这些因素对于改善患者参与治疗计划至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 局部晚期胃癌 (LAGC) 需要复杂的新辅助治疗决策.
- 患者参与治疗决策越来越被认为是最佳结果的关键.
- 了解影响参与LAGC新辅助治疗决策的因素至关重要.
研究的目的:
- 调查目前患者参与LAGC新辅助治疗决策的水平.
- 确定与患者参与这些决策相关的因素.
主要方法:
- 在中国广州,对LAGC患者进行了一项横截面研究.
- 数据采用关于决策,决策冲突,健康素养,进步恐惧和社会支持的验证问卷收集.
- 使用了单变量和多变量逻辑回归分析.
主要成果:
- 对参与的积极态度与更高的实际参与水平相关.
- 影响决策态度的因素包括就业状况,决策冲突,健康素养和对晋升的恐惧.
- 影响实际参与的因素包括教育,就业部门,收入,决策冲突,健康素养和社会支持.
结论:
- 患者参与LAGC新辅助治疗决策是多因素的.
- 干预措施应该是全面的,并根据特定的影响因素进行量身定制.
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