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减少患者的不确定性:实施共同决策过程可提高治疗质量并改善医患沟通。

Reducing Patient Uncertainty: Implementation of a Shared Decision-Making Process Enhances Treatment Quality and Provider Communication.

作者信息

Gustafson Annika

机构信息

Seattle Cancer Care Alliance.

出版信息

Clin J Oncol Nurs. 2017 Feb 1;21(1):113-115. doi: 10.1188/17.CJON.113-115.

Abstract

Patients with cancer can experience uncertainty when making treatment decisions. When unaddressed, patient uncertainty can result in decisional conflict and decisional regret. Providers can assist in decreasing these factors by involving patients in the decision-making process. Patients who agree to participate should be informed about their diagnosis, prognosis, and treatment options, including the benefits, the risks and harms, or the option of no treatment. Providers also can help patients to clarify their values, which reveal patient preferences and inform tailoring of care for each patient. When an informed patient's personal preferences align with care decisions, decisional quality is achieved.

摘要

癌症患者在做出治疗决策时可能会经历不确定性。如果不加以解决,患者的不确定性可能会导致决策冲突和决策后悔。医疗服务提供者可以通过让患者参与决策过程来帮助减少这些因素。同意参与的患者应被告知其诊断、预后和治疗选择,包括益处、风险和危害,或不治疗的选择。医疗服务提供者还可以帮助患者明确他们的价值观,这些价值观揭示了患者的偏好,并为为每位患者量身定制护理提供依据。当知情患者的个人偏好与护理决策一致时,就实现了决策质量。

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