Priority Research Centre for Health Behaviour, University of Newcastle and Hunter Medical Research Institute, Callaghan, Australia; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle and Hunter Medical Research Institute, Callaghan, Australia; School of Medicine and Public Health, University of Newcastle, Callaghan, Australia.
Patient Educ Couns. 2019 Nov;102(11):1957-1960. doi: 10.1016/j.pec.2019.06.011. Epub 2019 Jun 13.
We examined whether patients reporting not having adequate time to make a treatment decision is associated with discordance between their preferred and perceived involvement in decision making.
This was a secondary analysis of a cross-sectional study involving Australian outpatients attending five medical or radiation oncology units. Logistic regression modelling was conducted.
Four hundred twenty-three patients participated. Patients who reported not having adequate time to make their last important treatment decision had significantly higher odds of experiencing discordance between their preferred and perceived involvement in this decision, compared to those patients who reported having adequate time (OR: 2.76; 95% CI: 1.01-7.55; p = 0.048).
Patients should receive adequate time when making cancer treatment decisions. This may help patients "digest" and use the information they received, and become involved in decision making, to the extent they desire. Future research should further investigate what patients consider adequate time for decision making.
Doctors should assess patients' preferences for the amount of time they prefer when making a treatment decision and tailor care accordingly. Offering patients two consultations with some time to think about their options in-between these consultations may be one method in achieving this.
我们研究了患者报告没有足够的时间做出治疗决策是否与他们在决策中的偏好和感知参与程度不一致有关。
这是一项涉及澳大利亚五家医学或放射肿瘤学单位门诊患者的横断面研究的二次分析。采用逻辑回归模型进行分析。
共有 423 名患者参与了研究。与报告有足够时间做出最后一个重要治疗决策的患者相比，报告没有足够时间做出决策的患者在做出这个决策时的偏好和感知参与程度之间存在明显更高的不一致的可能性（OR：2.76；95%CI：1.01-7.55；p=0.048）。
患者在做出癌症治疗决策时应获得足够的时间。这可能有助于患者“消化”和使用他们所收到的信息，并根据自己的意愿参与决策。未来的研究应该进一步探讨患者认为做出决策需要多少时间。
医生应该评估患者对做出治疗决策时所需时间的偏好，并相应地调整护理措施。为患者提供两次咨询，并在两次咨询之间留出一些时间来考虑他们的选择，这可能是实现这一目标的一种方法。
