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患者报告结局与共同决策在胸外科手术中的应用

[Application of Patient-reported Outcomes and Shared Decision-making 
in Thoracic Surgery].

作者信息

Chen Weihao, Zhang Mengni, Shen Cheng

机构信息

West China School of Medicine, West China Hospital, Sichuan 
University, Chengdu 610041, China.

Department of Pathology, West China Hospital, Sichuan 
University, Chengdu 610041, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2024 Oct 20;27(10):792-798. doi: 10.3779/j.issn.1009-3419.2024.106.26.

DOI:10.3779/j.issn.1009-3419.2024.106.26
PMID:39631836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629092/
Abstract

Thoracic surgery encompasses the diagnosis and treatment of various chest diseases such as lung cancer, esophageal cancer, and mediastinal tumors. The treatment plans for these diseases are complex and often involve a combination of surgery, chemotherapy, and radiotherapy, each with different impacts on the patient's quality of life. Patient-reported outcomes (PRO) and shared decision-making (SDM) are becoming increasingly important in this field. PRO allows patients to directly report their health status and the effects of treatment, aiding doctors in adjusting treatment plans. SDM ensures that treatment plans align with the patient's personal values and preferences through information sharing and joint decision-making. The comprehensive application of PRO and SDM can enhance patient satisfaction and treatment outcomes, though it also faces challenges such as data collection and time management. Future research should focus on developing more efficient PRO tools and SDM processes to improve patient-centered healthcare quality.
.

摘要

胸外科涵盖了对各种胸部疾病的诊断和治疗,如肺癌、食管癌和纵隔肿瘤。这些疾病的治疗方案很复杂,通常涉及手术、化疗和放疗的联合应用,每种治疗方法对患者的生活质量都有不同的影响。患者报告结局(PRO)和共同决策(SDM)在该领域正变得越来越重要。PRO使患者能够直接报告他们的健康状况和治疗效果,帮助医生调整治疗方案。SDM通过信息共享和共同决策确保治疗方案符合患者的个人价值观和偏好。PRO和SDM的综合应用可以提高患者满意度和治疗效果,尽管它也面临数据收集和时间管理等挑战。未来的研究应专注于开发更高效的PRO工具和SDM流程,以提高以患者为中心的医疗质量。

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本文引用的文献

1
[Application Progress of Shared Decision Making Model in Patients
with Thoracic Cancer].[共享决策模型在肺癌患者中的应用进展]
Zhongguo Fei Ai Za Zhi. 2024 Feb 20;27(2):133-137. doi: 10.3779/j.issn.1009-3419.2024.101.04.
2
Patient-reported outcomes: A primer for plastic surgeons.患者报告结局:整形外科学的入门指南。
J Plast Reconstr Aesthet Surg. 2023 Nov;86:35-47. doi: 10.1016/j.bjps.2023.08.008. Epub 2023 Aug 21.
3
How Vital Are Patient-Reported Outcomes?患者报告的结果有多重要?
J Natl Cancer Inst. 2022 Mar 8;114(3):347-348. doi: 10.1093/jnci/djab178.
4
Shared decision making-The cornerstone in person-centred care.共同决策——以患者为中心的护理的基石。
J Ren Care. 2021 Sep;47(3):144-145. doi: 10.1111/jorc.12392.
5
Shared decision making: What is the work?共同决策:何为其工作?
Patient Educ Couns. 2021 Jul;104(7):1591-1595. doi: 10.1016/j.pec.2020.11.032. Epub 2020 Dec 1.
6
Shared Decision-making in Head and Neck Surgery: A Review.头颈部外科手术中的共享决策:综述。
JAMA Otolaryngol Head Neck Surg. 2020 Sep 1;146(9):839-844. doi: 10.1001/jamaoto.2020.1601.
7
Patient Reported Outcomes: The Foundation of Value.患者报告的结局:价值的基础。
J Orthop Trauma. 2019 Nov;33 Suppl 7:S53-S55. doi: 10.1097/BOT.0000000000001613.
8
Shared Decision Making: Improving Patient Outcomes by Understanding the Benefits of and Barriers to Effective Communication.共同决策:通过了解有效沟通的益处和障碍来改善患者治疗效果
Clin J Oncol Nurs. 2019 Oct 1;23(5):540-542. doi: 10.1188/19.CJON.540-542.
9
Patient participation in patients with heart failure receiving structured home care--a prospective longitudinal study.心力衰竭患者接受结构化家庭护理时的患者参与度——一项前瞻性纵向研究。
BMC Health Serv Res. 2014 Dec 18;14:633. doi: 10.1186/s12913-014-0633-y.
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Important medical decisions: Using brief motivational interviewing to enhance patients' autonomous decision-making.重要的医疗决策:运用简短动机性访谈增强患者的自主决策能力。
J Psychiatr Pract. 2013 Mar;19(2):98-108. doi: 10.1097/01.pra.0000428556.48588.22.