患者与临床医生的沟通:ASCO指南更新
Timothy Gilligan1, Kari Bohlke2, Ash B Alpert3
1Taussig Cancer Institute and Institute and the Center for Excellence in Healthcare Communication, Cleveland Clinic, Cleveland, OH.
概括
本指南为瘤临床医生提供有效的沟通策略,以增强患者与临床医生之间的关系以及患者,临床医生和护理人员的福祉. 它涵盖核心技能,目标讨论,以及远程医疗等新话题.
科学领域:
- 在瘤学瘤学.
- 临床交流 临床沟通
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在瘤学中,有效的沟通对于优化患者与临床医生的关系和福祉至关重要.
- 现有的指南需要更新,以应对不断变化的医疗保健实践和沟通挑战.
研究的目的:
- 为瘤临床医生提供关于有效沟通策略的最新指导.
- 加强患者和临床医生的关系,改善患者,临床医生和护理人员的福祉.
主要方法:
- 由ASCO召集的多学科专家小组制定了建议.
- 进行了从2016年10月到2025年1月的系统性审查和随机对照试验 (RCT) 的系统性文献综述.
- 通过正式的共识过程,包括两轮投票,最终确定了建议.
主要成果:
- 系统性审查确定了73个相关出版物 (54个系统性审查,19个RCT).
- 包括的研究涵盖了不同的环境,干预措施和结果.
- 通过正式的共识过程制定了建议.
结论:
- 更新的建议涉及核心沟通技巧,护理目标讨论,预后,治疗选择,终身护理以及支持网络参与.
- 新的主题包括远程医疗,专业间沟通和界限设定.
- 成功实施需要卫生系统为临床医生提供足够的时间,培训和支持.
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