晚期癌症患者对疾病状况的认知对姑息化疗期间治疗决策冲突和满意度的影响：一项韩国前瞻性队列研究。
Effect of advanced cancer patients' awareness of disease status on treatment decisional conflicts and satisfaction during palliative chemotherapy: a Korean prospective cohort study.
机构信息
Department of Internal Medicine, Kyung Hee University Medical Center, 1 Hoegi dong, Dongdaemun-Gu, Seoul, 130-702, South Korea.
出版信息
Support Care Cancer. 2012 Jun;20(6):1309-16. doi: 10.1007/s00520-011-1218-5. Epub 2011 Jul 1.
PURPOSE
Our purpose was to evaluate the effect of cancer patients' awareness of their incurable disease status on decisional conflict and satisfaction with treatment choice.
METHODS
In this prospective cohort study, advanced cancer patients who were offered palliative chemotherapy completed questionnaires on their knowledge of their condition, their treatment decision conflicts, and their satisfaction with their treatment decisions.
RESULTS
We enrolled 98 patients; 94 reported that they were aware of their advanced status and 50 were not. Decisional conflicts for all patients showed a significant decrease after treatment, but aware patients were significantly more satisfied with their decision (P = 0.02).
CONCLUSION
Patients' awareness of their incurable status was associated with greater satisfaction with their decision to receive palliative chemotherapy.
目的
本研究旨在评估癌症患者对其不可治愈疾病状况的认知对决策冲突和治疗选择满意度的影响。
方法
本前瞻性队列研究纳入了接受姑息化疗的晚期癌症患者，患者完成了关于其疾病认知、治疗决策冲突和治疗决策满意度的调查问卷。
结果
共纳入 98 例患者，94 例患者报告其已知晓自身的晚期疾病状况，50 例患者未知晓。所有患者的决策冲突在治疗后均显著降低，但知情患者对其决策的满意度显著更高（P=0.02）。
结论
患者对其不可治愈状况的认知与其接受姑息化疗的决策满意度相关。
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