通过在支持性护理中心的系统查来确定患者瘤学家癌症治疗意图一致性
Kayley M Ancy1, Sujin Ann-Yi2, Yi Huang3
1Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1414, Houston, TX, 77030, USA. kmclemings@mdanderson.org.
概括
许多癌症患者缺乏对治疗目标的准确理解,近一半的人误解了他们的预后. 系统性查对于改善患者的理解和确保目标一致的癌症护理至关重要.
科学领域:
- 在瘤学瘤学.
- 患者护理 患者护理
- 卫生沟通健康沟通
背景情况:
- 对疾病的准确理解对于符合目标的癌症护理至关重要.
- 对患者疾病理解的系统查仍未得到充分研究.
研究的目的:
- 评估患者报告和瘤学家记录的癌症治疗意图之间的一致性.
- 探索治疗意图协议和患者特征之间的关联.
主要方法:
- 疾病理解查是在支持性护理中心 (SCC) 实施的.
- 对患者关于治愈可能性和治疗目标的调查反应与电子健康记录数据进行了比较.
主要成果:
- 在300名患者中,50.7%的患者有一致的治疗意图,49.3%的患者有不一致的治疗意图.
- 大多数有不一致意图的患者 (98.6%) 错误地认为治愈是可能的.
- 不和与黑人,晚期疾病和特定癌症类型有关.
结论:
- 观察到患者对治愈能力和治疗目标的看法存在很高的不准确率.
- 需要进行系统的查和沟通干预,以提高对疾病的理解.
- 更好的理解有助于提供符合目标的癌症护理.
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