在肿瘤皮肤科实施基于价值的方法的经验

Q3 Medicine
Yu.A. Zuenkova, D. Kicha, L. N. Izyurov
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引用次数: 0

摘要

目的:实施基于价值的方法和发展非黑色素瘤癌症患者的治疗依从性。材料和方法。对生活质量和患者体验进行观察性、单臂、前瞻性、长期单中心研究。纳入42例患者,年龄从42岁到82岁。采用有效问卷:患者报告结果量表(PROMs)(作为决策支持工具),患者报告体验量表(PREMs)(治疗后3个月评估患者体验)。结果。对外表的平均关注度为43.5分(Rasch心理测量模型)。年轻患者(r= -0.398, p=0.009)和女性患者(r= -0.475, p=0.001)更关注外表。10例(24%)受累为4点,18例(43%)受累为3点,14例(33%)受累为2点。老年患者较少参与治疗方法的选择(r= -0633, p<0.001)。对沟通的满意度在50分以上。使用以患者为导向的沟通算法对患者的体验有积极的影响。建议肿瘤护理负责人定期评估患者的体验,为患者根据个人需求选择治疗方法创造条件,根据适当的病理科概况,分析通过引入有效问卷获得的结果,并在治疗中考虑这些结果。需要进一步研究不同因素对患者选择治疗方法的影响程度,并在其他非黑色素瘤皮肤癌(位于身体其他部位,大于2厘米)患者组中进行研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience of implementing a value-based approach in oncodermatology
Objective: implementation of value-based approach and development of adherence to treatment in patients with non-melanoma cancer.Material and methods. The observational, single-arm, prospective, long-term single-center study of the quality of life and patients’ experience was performed. It included 42 patients aged from 42 to 82 years. Validated questionnaires were used: Patient-Reported Outcome Measures (PROMs) (as a decision support tool), Patient-Reported Experience Measures (PREMs) (3 months after treatment to assess the patient's experience).Results. Mean concern about appearance was 43.5 points (Rasch psychometric model). Younger patients (r=–0.398, p=0.009) and female patients (r=–0.475, p=0.001) were more concerned about appearance. In 10 cases (24%), the involvement was estimated as 4 points, in 18 cases (43%), it was 3 points, in 14 cases (33%), it was 2 points. Older patients were less involved in the choice of treatment method (r=–0633, p<0.001). The level of satisfaction with communications was more than 50 points. The use of a patient-oriented algorithm of communication has a positive effect on a patient's experience.Conclusion. The heads of oncological care are recommended to evaluate the patient's experience on a regular basis, create conditions for patients to choose treatment methods according to their individual needs, analyze the outcomes obtained by the introduction of validated questionnaires on the appropriate nosological profile and take these results into account in treatment. Further studies of the degree of influence of different factors on a patient’s choice of treatment method are needed, as well as conducting studies among other groups of patients with non-melanoma skin cancer (located in other parts of the body, larger than 2 cm).
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来源期刊
Farmakoekonomika
Farmakoekonomika Medicine-Health Policy
CiteScore
1.70
自引率
0.00%
发文量
43
审稿时长
8 weeks
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