Bowden Joanna, Gwyther Beth, Price Allan, Swan Amanda, Nussey Fiona, Hacking Belinda, Shearer Morven, Lloyd Anna
Ward 16, Queen Margaret Hospital, Whitefield Road, Dunfermline KY12 0SU, UK,
University of St Andrews, St Andrews, UK.
J R Coll Physicians Edinb. 2019 Sep;49(3):199-203. doi: 10.4997/JRCPE.2019.306.
The decision to undergo chemotherapy for incurable cancer demands informed discussions about the risks and benefits of proposed treatments. Research has shown that many patients have a poor grasp of these factors.
An evaluation of the patient experience of palliative chemotherapy decision-making was undertaken. Patients with lung or gynaecological cancers were surveyed about their decision, what they understood about its risks and benefits, and how supported they felt.
A total of 29 people with lung cancer (n = 21) or gynaecological cancer (n = 8) completed questionnaires. The majority felt sure about their decision, though many were less sure of the risks and benefits of treatment. Unprompted comments revealed significant nuance, including that the decision to undergo chemotherapy may not necessarily have felt like a choice.
Our positive findings may reflect participant selection bias, or could represent genuine comfort in decision-making in Scottish oncology clinics. Further research is needed.
对于无法治愈的癌症患者，决定是否接受化疗需要就拟议治疗的风险和益处进行充分的讨论。研究表明，许多患者对这些因素了解不足。
对姑息性化疗决策的患者体验进行评估。对肺癌或妇科癌症患者就其决策、对治疗风险和益处的理解以及他们所感受到的支持程度进行了调查。
共有29名肺癌患者（n = 21）或妇科癌症患者（n = 8）完成了问卷调查。大多数人对自己的决定感到确定，尽管许多人对治疗的风险和益处不太确定。自发评论揭示了显著的细微差别，包括接受化疗的决定不一定感觉像是一种选择。
我们的积极发现可能反映了参与者选择偏差，也可能代表了苏格兰肿瘤诊所决策过程中真正的安心感。需要进一步研究。
