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患者、护理人员和医生对参与胸部快速组织捐赠计划的看法。

Patient, caregiver and physician perspectives on participating in a thoracic rapid tissue donation program.

机构信息

Division of Population Science, H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, United States; New York University School of Medicine, 500 1st Ave, New York, NY 10012, United States.

Winship Cancer Institute, Emory University School of Medicine, 1365 Clifton Rd., Atlanta, GA 30322, United States.

出版信息

Patient Educ Couns. 2018 Apr;101(4):703-710. doi: 10.1016/j.pec.2017.11.014. Epub 2017 Nov 28.

Abstract

OBJECTIVE

The collection of posthumous tissue from advanced stage lung cancer patients is beneficial to medical science. Recruiting living patients to a Rapid Tissue Donation Program (RTD) poses several psychosocial challenges and little is known about perceptions of joining this type of program. This study qualitatively examined perceptions of advanced stage lung cancer patients (n=14) participating in a lung cancer RTD program, their NoK (n=11), and physicians (n=6) at the Thoracic Oncology Clinic at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida USA.

METHODS

Semi-structured interviews were conducted with participants and interview transcripts were analyzed using the constant comparison method.

RESULTS

Majority of patients joined to give back to research, discussed participation with family members, and desired for family to receive information about the use of the tissue after their death. All participating NoK were supportive of their family member's decision. Physicians described the program as running smoothly, but provided suggestions for process improvements.

CONCLUSION

Participants joined with intention to give back to research community and families were supportive of loved one's participation in RTD. Physicians agreed with overall process.

PRACTICE IMPLICATIONS

Key factors for a successful RTD program is tailoring to institutional and individual needs.

摘要

目的

从晚期肺癌患者身上采集死后组织有益于医学研究。招募存活的患者加入快速组织捐献计划(RTD)会带来一些心理社会挑战,而对于参与这种类型计划的看法却知之甚少。本研究定性研究了美国佛罗里达州坦帕市 H. Lee Moffitt 癌症中心和研究所胸肿瘤学诊所参与肺癌 RTD 计划的晚期肺癌患者(n=14)、其家属(n=11)和医生(n=6)的看法。

方法

对参与者进行半结构化访谈,并使用恒定性比较法对访谈记录进行分析。

结果

大多数患者加入该计划是为了回馈研究,与家人讨论了参与问题,并希望家人在他们去世后能获得有关组织使用的信息。所有参与的家属都支持他们的家庭成员的决定。医生们描述该计划运作顺利,但对流程改进提出了建议。

结论

参与者加入该计划是为了回馈研究社区,家属也支持亲人参与 RTD。医生们总体上对该计划表示认可。

实践意义

成功的 RTD 计划的关键因素是针对机构和个人的需求进行定制。

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