对于遗传性癌症综合征的遗传检测中具有不确定的意义的变异个体的经验和需求:一个有基础的理论研究
Danielle Gould1, Rae Walker2, Grace Makari-Judson3
1Elaine Marieb College of Nursing, University of Massachusetts Amherst; MGH Institute of Health Professions, Boston, MA.
从基因测试中获得不确定的意义 (VUS) 变异的个体在与医疗保健提供者和家人沟通方面遇到挑战. 一个新的模型指导着以患者为中心的护理,以改善对遗传性癌症易感性的理解和决策.
科学领域:
- 遗传学 是一个遗传学.
- 医学社会学 医学社会学
- 患者体验研究 研究研究
背景情况:
- 对遗传性癌症易感性的多基因面板测试正在增加.
- 有相当数量的个人获得不确定的意义 (VUS) 结果的变异.
- 了解患者对VUS结果的体验对于有效的护理至关重要.
研究的目的:
- 描述VUS结果的个人的生活经历.
- 探索与医疗保健提供者 (HCP) 和家庭成员的沟通动态.
- 开发一个理论模型来支持具有VUS结果的个人.
主要方法:
- 使用构造主义立足理论进行定性研究.
- 与20名参与者进行了半结构面试.
- 数据分析的重点是确定关键主题并制定理论框架.
主要成果:
- 确定的主题包括动机,沟通模式,情绪反应,对结果的理解,应对和风险管理.
- 与医疗保健专家和家庭的沟通成为关键因素.
- 对VUS结果的感受和对影响的回忆是显著的.
结论:
- 开发了一个理论模型,强调了背景,决策,沟通,提供商可信度,情感支持和开放的沟通.
- 该模型为患有VUS的个人提供了测试前后护理的框架.
- 在护理实践中强调以患者为中心的护理,信任,连续性和可访问的支持.
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