Colella Kathleen M, DeLuca Gail
VA Chicago Health Care System--Lakeside Division, Chicago, IL, USA.
Urol Nurs. 2004 Jun;24(3):187-91, 195-6.
Screening for prostate cancer is controversial. Treatment choices for verified cases of prostate cancer provide another level of controversy as to which treatment, if any, is best. This controversy and uncertainty create a dilemma for the newly diagnosed patient. A great deal of information must be assimilated if the patient is to make an informed decision to pursue any treatment A metropolitan Veterans Affairs hospital has created a model to assist the newly diagnosed prostate cancer patient in acquiring this information, while helping him through the decision tree. This model, which utilizes the skills of the advanced practice nurse, strives toward maintaining the patient's autonomy while clarifying these uncertainties, introduces the concept of shared decision making, and provides a potential support group.
前列腺癌筛查存在争议。对于确诊的前列腺癌病例，在选择哪种治疗方法（如果有的话）是最佳的这一问题上，又引发了另一层面的争议。这种争议和不确定性给新确诊的患者带来了两难困境。如果患者要做出明智的决定来寻求任何治疗，就必须吸收大量信息。一家大都市退伍军人事务医院创建了一个模型，以帮助新确诊的前列腺癌患者获取这些信息，同时帮助他梳理决策流程。这个模型利用高级执业护士的技能，在澄清这些不确定性的同时努力维护患者的自主权，引入了共同决策的概念，并提供了一个潜在的支持群体。
