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头颈部癌症治疗中的咨询艺术:意大利南部卫生专业人员认知的探索性研究。

The Art of Counseling in the Treatment of Head and Neck Cancer: Exploratory Investigation among Perceptions of Health Professionals in Southern Italy.

机构信息

U.O.C. Oncology "S. Giovanni di Dio" Hospital, ASLNA2NORD Via Pirozzi Frattamaggiore, 80027 Naples, Italy.

Division of Medical Oncology, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 81100 Naples, Italy.

出版信息

Curr Oncol. 2022 Aug 31;29(9):6277-6286. doi: 10.3390/curroncol29090493.

Abstract

(1) Background: Recurrent and/or metastatic patients with head and neck squamous cell carcinoma show a poor prognosis, which has not changed significantly in 30 years. Preserving quality of life is a primary goal for this subset of patients; (2) Methods: A group of 19 physicians working in South Italy and daily involved in head and neck cancer care took an anonymous online survey aimed at revealing the level of knowledge and the application of communication techniques in daily patient care; (3) Results: Several specialists, 18 out 19 (95%), considered that patient participation in therapeutic choices is mandatory. The main obstacles to complete and reciprocate communication still consist of lack of time and staff, but also in the need for greater organization, which goes beyond the multidisciplinary strategy already used; (4) Conclusions: A greater impulse to training and updating on issues related to counseling can improve communication between the different clinicians involved in the treatment plan.

摘要

(1) 背景:复发性和/或转移性头颈部鳞状细胞癌患者预后较差,30 年来并无显著改善。这部分患者的主要目标是保持生活质量;(2) 方法:意大利南部的一组 19 名医生参与了一项匿名在线调查,旨在了解他们在日常头颈部癌症护理中掌握沟通技巧的程度和应用情况;(3) 结果:18 名专家(95%)认为患者参与治疗选择是强制性的。完全和相互沟通的主要障碍仍然是缺乏时间和人手,此外还需要更大的组织,这超出了已经使用的多学科策略;(4) 结论:加强与咨询相关问题的培训和更新,可以改善参与治疗计划的不同临床医生之间的沟通。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6818/9497560/e23eccc1d5e8/curroncol-29-00493-g001.jpg

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