转移性乳腺癌治疗中的患者偏好:一项范围审视研究。
Patient Preferences in Metastatic Breast Cancer Care: A Scoping Review.
发表日期:2023 Aug 30
作者:
Kelcey A Bland, Reem Mustafa, Helen McTaggart-Cowan
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
转译:
乳腺癌转移患者(MBC)具有多样化的医疗、身体和心理社会需求,需要提供多维护理关怀。了解患者偏好对于个性化治疗、服务以及促进患者中心关怀至关重要。我们进行了一个范围审查,总结了目前有关MBC患者关怀偏好的现有证据,以确定知识空白和未来研究的重点领域。我们搜索了Embase,MEDLINE,CINAHL和PsycInfo数据库。符合研究纳入标准的研究共有20个,入组患者为3354名。其中包括13个量化研究,4个混合方法研究和3个定性研究。其中7项研究涵盖了医疗保健提供者观点;13项研究评估了患者关于癌症治疗的偏好;3项研究评估了患者关于支持性护理的偏好;4项研究评估了患者关于沟通和决策的偏好。目前评估MBC患者关怀偏好的文献具有异质性,主要集中在癌症治疗方面。未来的研究应该探索MBC患者关于多学科、多模式护理的偏好,以改善生活质量。了解MBC患者关于综合关怀的偏好可以帮助个性化的提供保健服务,提高患者体验和改善结果。
People with metastatic breast cancer (MBC) have diverse medical, physical, and psychosocial needs that require multidimensional care. Understanding patient preferences is crucial to tailor treatments, services, and foster patient-centered care. A scoping review was performed to summarize the current evidence on the preferences of people with MBC regarding their care to identify knowledge gaps and key areas for future research. The Embase, MEDLINE, CINAHL and PsycInfo databases were searched. Twenty studies enrolling 3354 patients met the study eligibility criteria. Thirteen quantitative studies, four mixed methods studies, and three qualitative studies were included. Seven studies captured healthcare provider perspectives; thirteen studies evaluated patient preferences relating specifically to cancer treatments; three studies evaluated preferences relating to supportive care; and four studies evaluated communication and decision-making preferences. The current literature evaluating MBC patient preferences is heterogeneous with a focus on cancer treatments. Future research should explore patient preferences relating to multidisciplinary, multi-modal care that aims to improve quality of life. Understanding MBC patient preferences regarding their comprehensive care can help tailor healthcare delivery, enhance the patient experience, and improve outcomes.