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癌症临床试验参与者的研究信息知识、感知充分性及理解情况

Research information knowledge, perceived adequacy, and understanding in cancer clinical trial participants.

作者信息

Biedrzycki Barbara A

机构信息

Skip Viragh Center for Pancreas Cancer Clinical Research and Patient Care, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins, Baltimore, MD, USA.

出版信息

Oncol Nurs Forum. 2011 Jul;38(4):E291-6. doi: 10.1188/11.ONF.E291-E296.

Abstract

PURPOSE/OBJECTIVES: To describe the adequacy of research information among people with cancer at the time they accept or decline participation in a cancer clinical trial.

DESIGN

Cross-sectional, descriptive.

SETTING

An urban, academic, National Cancer Institute-designated comprehensive cancer center.

SAMPLE

197 patients with advanced gastrointestinal cancer.

METHODS

Mailed survey; self-reported data.

MAIN RESEARCH VARIABLES

Adequacy of research information (actual knowledge, perceived adequacy of information, and perceived understanding), cancer clinical trial participation, and satisfaction with the decision to participate.

FINDINGS

Most respondents (88%) perceived themselves as having adequate information to make an informed decision regarding cancer clinical trial participation. In addition, 35% demonstrated adequate knowledge of basic clinical research.

CONCLUSIONS

Patients decide to accept or decline cancer clinical trials without having adequate knowledge.

IMPLICATIONS FOR NURSING

Nurses have an important role in educating patients regarding cancer clinical trials. The ideal teachable moment may not occur at the time of diagnosis; other less stressful opportunities may present when the patient is more receptive.

摘要

目的/目标:描述癌症患者在接受或拒绝参与癌症临床试验时所获研究信息的充分程度。

设计

横断面描述性研究。

地点

一所城市学术型、美国国立癌症研究所指定的综合癌症中心。

样本

197例晚期胃肠道癌患者。

方法

邮寄调查问卷;自我报告数据。

主要研究变量

研究信息的充分程度(实际知识、对信息充分性的感知以及理解程度)、癌症临床试验参与情况以及对参与决策的满意度。

结果

大多数受访者(88%)认为自己拥有足够信息以做出关于参与癌症临床试验的明智决策。此外,35%的受访者对基础临床研究有足够了解。

结论

患者在没有足够知识的情况下决定接受或拒绝癌症临床试验。

对护理工作的启示

护士在对患者进行癌症临床试验相关教育方面发挥着重要作用。理想的教育时机可能并非在诊断之时;当患者更容易接受时,可能会出现其他压力较小的时机。

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