Paiva Bianca Sakamoto Ribeiro, Trevizan Fulvio Bergamo, de Oliveira Lívia Costa, da Costa Rosa Karla Santos, Betussi Vitória Aparecida, Lourenço Bruna Minto, Julião Miguel, Paiva Carlos Eduardo
GPQual, Research Group on Palliative Care and Quality of Life, Teaching and Research Institute, Barretos Cancer Hospital, Barretos 14784-400, SP, Brazil.
GPQual, Research Group on Palliative Care and Quality of Life, Barretos Cancer Hospital, Barretos 14784-400, SP, Brazil.
Cancers (Basel). 2025 Feb 7;17(4):560. doi: 10.3390/cancers17040560.
The Go Wish Card Game (GWCG) is emerging as a valuable tool for facilitating end-of-life (EoL) discussions, particularly in oncology care where patients face complex treatment decisions. This review investigates the GWCG's intended use, its application in oncology settings, and best practices for introducing it to patients. It also addresses the challenges and barriers to its implementation in clinical practice. A search for scientific evidence revealed a significant gap in the literature: while various sources, including qualitative studies and reviews, were reviewed, only a small portion focused on intervention outcomes. This underscores the need for more comprehensive studies to evaluate the GWCG's effectiveness, especially in EoL care. Despite its potential to foster meaningful conversations and support informed decision-making, successful implementation requires overcoming barriers such as patient resistance and the need for a sensitive, gradual approach to EoL topics. Further research, particularly clinical trials, is essential to confirm its broader applicability and effectiveness.
“愿望纸牌游戏”（GWCG）正逐渐成为促进临终（EoL）讨论的一项重要工具，尤其是在肿瘤护理领域，患者在此面临复杂的治疗决策。本综述探讨了GWCG的预期用途、其在肿瘤环境中的应用以及向患者介绍该游戏的最佳实践方法。它还阐述了在临床实践中实施该游戏所面临的挑战和障碍。对科学证据的检索发现文献中存在重大空白：虽然对包括定性研究和综述在内的各种来源进行了审查，但只有一小部分关注干预结果。这凸显了开展更全面研究以评估GWCG有效性的必要性，特别是在临终护理方面。尽管它有促进有意义对话并支持明智决策的潜力，但成功实施需要克服诸如患者抵触以及对临终话题采取敏感、渐进方法的必要性等障碍。进一步的研究，尤其是临床试验，对于确认其更广泛的适用性和有效性至关重要。
