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通过乳腺癌会诊中的共同决策增强患者权能。

Empowering Patients Through Shared Decision Making in Breast Cancer Consultations.

作者信息

Di Pace Bruno, Padley Roxanne H

机构信息

Clinical and Translational Oncology Division, Scuola Superiore Meridionale, Via Mezzocacnnone, 4, 80138, Naples, Italy.

School of Medicine, Anglia Ruskin University, Cambridge, Chelmsford, UK.

出版信息

Aesthetic Plast Surg. 2025 Mar;49(5):1632-1634. doi: 10.1007/s00266-024-03937-y. Epub 2024 Mar 8.

DOI:10.1007/s00266-024-03937-y
PMID:38459380
Abstract

Receiving a breast cancer diagnosis renders breast cancer consultations pivotal moments in a patient's journey, where decisions about treatment options, including breast reconstruction, can profoundly impact their physical and emotional well-being. Shared decision making (SDM) is a collaborative approach that involves healthcare professionals and patients working together to make decisions that align with the patient's values, preferences, and goals. SDM can hence lead to: 1. informed choices and patient empowerment; 2. enhanced patient satisfaction. One of the key decisions that patients face is whether or not to undergo breast reconstruction and the varying options available. However, while SDM has proven benefits, there still appears to be a lack of knowledge among some healthcare professionals. Hence, suggestions for mitigation include the employment of patient decision aids and clear communication strategies.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

收到乳腺癌诊断结果使乳腺癌会诊成为患者就医过程中的关键时刻,在此期间,关于治疗方案(包括乳房重建)的决策会对患者的身心健康产生深远影响。共同决策(SDM)是一种协作方法,涉及医疗保健专业人员和患者共同做出符合患者价值观、偏好和目标的决策。因此,共同决策可以带来:1. 明智的选择和患者赋权;2. 提高患者满意度。患者面临的关键决策之一是是否进行乳房重建以及可用的不同选择。然而,尽管共同决策已被证明有益,但一些医疗保健专业人员似乎仍然缺乏相关知识。因此,缓解措施建议包括使用患者决策辅助工具和明确的沟通策略。证据水平V 本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266 。

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PLoS One. 2023 Nov 1;18(11):e0288364. doi: 10.1371/journal.pone.0288364. eCollection 2023.
2
Healthcare professionals' views on shared decision-making in plastic surgery in the Netherlands.荷兰医疗保健专业人员对整形手术中共同决策的看法。
J Plast Reconstr Aesthet Surg. 2023 Oct;85:463-472. doi: 10.1016/j.bjps.2023.07.041. Epub 2023 Jul 23.
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远程通讯对身体意象感知的心理影响:整容手术呈上升趋势。
Aesthetic Plast Surg. 2022 Jun;46(3):1507-1509. doi: 10.1007/s00266-021-02554-3. Epub 2021 Aug 31.
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Touch-ups, Rejuvenation, Re-dos and Revisions: Remote Communication and Cosmetic Surgery on the Rise.微调、焕肤、修复和修订:远程沟通和整容手术日益增多。
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Breast reconstruction and the COVID-19 pandemic: Adapting practice.乳房重建与新冠疫情:调整实践
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