探讨头颈部肿瘤患者共同决策的状态：评估治疗沟通

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-03-04 DOI:10.1016/j.pec.2025.108733

Anne N. Heirman , Song L.L. Duimel , Roosmarijn S. Tellman , Richard Dirven , Annemiek J. Linn , Gyorgy B. Halmos , Rob J.J.H. van Son , Lisette van der Molen , Alfons J.M. Balm , Julia C.M. van Weert , Michiel W.M. van den Brekel

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引用次数: 0

摘要

目的探讨头颈部（HN）肿瘤学中共同决策（SDM）的状态，研究HN外科医生目前使用SDM的程度，以及SDM的感知水平与SDM的观察水平之间的关系。此外，我们还探讨了外科医生和患者对SDM参与程度的看法以及与SDM观察水平的潜在关联。方法采用SDM- q -9/SDM- q - doc分别测量SDM感知水平和患者累及程度。控制偏好量表。观察到的SDM通过使用OPTIONmcc+仪器分析问诊录音（N = 42）来测量。进行单变量线性分析以确定与外科医生观察到的SDM的可能关联。结果外科医生感知SDM得分中位数（74.4 %）和患者（71.1 %）相对较高，而观察到的option得分中位数为中等（外科医生48 %，患者42 %，护理人员24 %）。会诊时间、患者OPTION-score与外科医生OPTION-score呈正相关。结论与观察到的实际情况相比，外科医生和患者似乎高估了SDM的程度。患者的目标、价值观和偏好需要在会诊时得到更多的关注。实践意义本研究结果可用于提高外科医生对SDM的认识，以提高他们的技能。医学教育的常规培训可受益于会诊期间有效整合SDM原则。

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Exploring the state of shared decision-making in head and neck oncology: Assessing treatment communication

Objective

To explore the state of shared decision-making (SDM) in head and neck (HN) oncology by investigating the extent to which SDM is currently employed by HN surgeons and how the perceived levels of SDM relate to the observed levels of SDM. Additionally, surgeon and patient perspectives on patient involvement in SDM and potential associations with observed levels of SDM were explored.

Methods

Perceived level of SDM and patient involvement were measured by SDM-Q-9/SDM-Q-Doc resp. Control Preference Scale. Observed SDM was measured by analyzing audiotaped consultations (N = 42) using the OPTION^mcc+ instrument. Univariate linear analyses were conducted to identify possible associations with surgeon-observed SDM.

Results

Median perceived SDM scores of surgeons (74.4 %) and patients (71.1 %) were relatively high, whereas observed median OPTION-scores were moderate (surgeons 48 %, patients 42 %, caregivers 24 %). Consultation time and patient OPTION-score were positively associated with surgeon OPTION-score.

Conclusion

Surgeons and patients seem to overestimate the extent of SDM compared to the observed reality. Patients’ goals, values and preferences need to be addressed more during consultations.

Practice Implications

The findings can be used to raise awareness of SDM among surgeons to improve their skills. Routine training in medical education can benefit from effective integration of SDM principles during consultations.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.