文章：

转移性乳腺癌患者护理偏好：一项范围综述

Patient Preferences in Metastatic Breast Cancer Care: A Scoping Review

原文发布日期：30 August 2023

DOI: 10.3390/cancers15174331

类型: Article

开放获取: 是

英文摘要：

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.

摘要翻译： 

转移性乳腺癌（MBC）患者具有多样化的医疗、生理及心理社会需求，需要多维度的照护。了解患者偏好对于定制治疗方案、优化服务以及推动以患者为中心的照护至关重要。本研究通过范围综述，系统梳理了当前关于MBC患者照护偏好的证据，以明确知识缺口及未来研究的重点方向。检索覆盖Embase、MEDLINE、CINAHL及PsycInfo数据库，共纳入20项符合条件的研究，涉及3354名患者。其中定量研究13项、混合方法研究4项、质性研究3项。7项研究纳入了医疗提供者视角；13项研究专门评估了患者对癌症治疗的偏好；3项研究关注支持性照护偏好；4项研究探讨了沟通与决策偏好。现有关于MBC患者偏好的研究呈现异质性，且主要聚焦于癌症治疗领域。未来研究应进一步探索患者对多学科、多模式照护的偏好，以提升生活质量。深入理解MBC患者对全面照护的偏好，有助于优化医疗服务模式、改善患者体验并提升临床结局。

原文链接：

Patient Preferences in Metastatic Breast Cancer Care: A Scoping Review