Suppr超能文献

早期恶性脑肿瘤患者的医疗相关决策:一项定性研究

Medical Care-Related Decisions among Patients Diagnosed with Early Stage Malignant Brain Tumor: A Qualitative Study.

作者信息

Numata Hanako, Noguchi-Watanabe Maiko, Mukasa Akitake, Tanaka Shota, Takayanagi Shunsaku, Saito Nobuhito, Yamamoto-Mitani Noriko

机构信息

The University of Tokyo, Tokyo, Japan.

出版信息

Glob Qual Nurs Res. 2020 Sep 29;7:2333393620960059. doi: 10.1177/2333393620960059. eCollection 2020 Jan-Dec.

Abstract

Medical care-related decision-making among patients with malignant brain tumors has not been sufficiently discussed. This study aimed to develop a framework for understanding patients' experiences in the decision-making process. Semi-structured interviews with 14 patients were analyzed using a grounded theory approach, focusing on their 48 decision-making points. Additionally, interviews with two family members and seven healthcare providers, and participant observations were used to gain contextual insight into patients' experiences. Patients faced decisions while they under shock, fear, and anxiety while hoping. Under this context, they showed four decision-making patterns: (1) , (2) , (3) , and (4) . Across these patterns, the patients were generally satisfied with their decisions even when they did not actively participate in the process. Healthcare providers need to understand patients' contexts and their attitudes toward yielding decision-making to others.

摘要

恶性脑肿瘤患者的医疗相关决策制定尚未得到充分讨论。本研究旨在构建一个框架,以理解患者在决策过程中的经历。采用扎根理论方法对14名患者进行了半结构化访谈,重点关注他们的48个决策点。此外,还对两名家庭成员和七名医疗服务提供者进行了访谈,并进行了参与观察,以深入了解患者的经历。患者在处于震惊、恐惧和焦虑状态且怀有希望的情况下做出决策。在此背景下,他们呈现出四种决策模式:(1) ,(2) ,(3) ,以及(4) 。在这些模式中,患者即使没有积极参与决策过程,总体上对自己的决策也感到满意。医疗服务提供者需要了解患者的背景情况以及他们对将决策权交给他人的态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d5a/7560538/fec1d24e2622/10.1177_2333393620960059-fig1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验