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.
《心愿卡游戏》正逐渐成为促进临终关怀讨论的有效工具，尤其在肿瘤治疗领域，患者常面临复杂的治疗决策。本文综述了该游戏的设计初衷、在肿瘤临床中的应用现状、向患者引入的最佳实践，并探讨了其在临床实践中面临的挑战与障碍。文献检索显示相关研究存在显著空白：尽管梳理了包括质性研究和综述在内的各类文献，但仅有少数研究聚焦于干预效果评估。这凸显出需要更全面的研究来评估该游戏的有效性，特别是在临终关怀领域。尽管该工具具有促进深度对话、支持知情决策的潜力，但其成功实施仍需克服患者抵触情绪、以及需要采用敏感渐进的方式探讨临终话题等障碍。未来研究，特别是临床试验，对于确认其更广泛的适用性和有效性至关重要。
肿瘤(癌症)患者之家