Fennimore Laura A, Ginex Pamela K
Acute and Tertiary Care Department, University of Pittsburgh School of Nursing, 3500 Victoria Street, Pittsburgh, PA 15261, USA.
Department of Nursing, Memorial Sloan Kettering Cancer Center, 205 East 64th Street, Concourse Level Room 251, New York, NY 10065, USA.
Nurs Clin North Am. 2017 Mar;52(1):115-131. doi: 10.1016/j.cnur.2016.10.007.
As cancer treatment shifts to a combination of oral and intravenous agents for systemic treatment, health care professionals must adapt with practice changes aimed at supporting patients and optimizing adherence. Moving toward a shared decision-making model or a personal systems approach is a potential mechanism to minimize barriers and enhance facilitators to oral treatment adherence. Additional research is needed to understand what works for patients and how health care providers can change systems and care strategies to support patients with the ultimate goal of improved patient care and outcomes.
随着癌症治疗转向采用口服和静脉注射药物相结合的全身治疗方式,医疗保健专业人员必须适应实践变化,以支持患者并优化依从性。朝着共同决策模式或个人系统方法迈进是一种潜在机制,可最大限度地减少障碍并增强促进口服治疗依从性的因素。需要进行更多研究,以了解对患者有效的方法,以及医疗保健提供者如何改变系统和护理策略来支持患者,最终目标是改善患者护理和治疗结果。