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患者在咨询模式与姑息治疗和肿瘤内科联合查房模式下的体验:一项定性研究。

Experience of Patients in a Consult Model versus an Integrated Palliative Care and Medical Oncology Co-Rounding Model: A Qualitative Study.

机构信息

Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.

Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore.

出版信息

J Palliat Med. 2022 Feb;25(2):291-295. doi: 10.1089/jpm.2021.0361. Epub 2021 Nov 5.

Abstract

Research on different models of palliative care should include evaluation of the patients' experience of care. To understand the patients' experience regarding care received in a consult model versus an integrated palliative care and medical oncology co-rounding model during a hospital admission. Qualitative study using thematic analysis. Seventeen patients with stage 4 solid tumor admitted to a tertiary hospital in Singapore. Although experiences of care during the hospital stay were similar in both models, patients in the integrated model were able to better articulate the benefits of palliative care involvement alongside oncologists-to facilitate better communication and a more holistic understanding of the clinical context, with a view to effectively addressing the patient's needs. An integrated co-rounding model may possibly smoothen the transition for advanced cancer patients to palliative care, and could perhaps be considered for implementation to foster reach of palliative care services and improve patient experience.

摘要

应当对不同模式的姑息治疗进行研究,包括对患者护理体验的评估。本研究旨在了解在住院期间,接受咨询模式与姑息治疗和肿瘤内科联合查房模式下的患者对所接受护理的体验。本研究采用了主题分析法的定性研究方法,共纳入了 17 名新加坡一家三级医院的 4 期实体瘤患者。尽管两种模式下的住院护理体验相似,但在联合查房模式下,患者能够更好地阐述姑息治疗与肿瘤内科医生共同参与的益处,从而促进更好的沟通和对临床背景的更全面理解,进而有效满足患者的需求。联合查房模式可能会为晚期癌症患者平稳过渡到姑息治疗铺平道路,也许可以考虑实施这种模式,以促进姑息治疗服务的普及并改善患者体验。

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