患者报告结局和医患共同决策在胸外科临床中的应用  

Application of Patient-reported Outcomes and Shared Decision-making in Thoracic Surgery

作　　者：陈伟皓 张孟尼 沈诚[3] Weihao CHEN;Mengni ZHANG;Cheng SHEN(West China School of Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Pathology,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院临床医学院,成都610041 [2]四川大学华西医院临床医学院病理科,成都610041 [3]四川大学华西医院临床医学院胸外科,成都610041

出　　处：《中国肺癌杂志》2024年第10期792-798,共7页Chinese Journal of Lung Cancer

摘　　要：胸外科涵盖了肺癌、食管癌、纵隔肿瘤等多种胸部疾病的诊断和治疗,这些疾病的治疗方案复杂,常涉及手术、化疗和放疗等多种方式,每种方式对患者生活质量有不同影响。患者报告结局(patient-reported outcomes,PRO)和医患共同决策(shared decision-making,SDM)在这一领域越来越重要。PRO使患者能够直接报告健康状况和治疗影响,帮助医生调整治疗计划;SDM则通过信息共享和共同决策,确保治疗方案符合患者的个人价值观和偏好。综合运用PRO和SDM可提高患者满意度和治疗效果,但也面临数据收集、时间管理等挑战。未来研究应集中于开发更高效的PRO工具和SDM流程,来提升以患者为中心的医疗服务质量。Thoracic surgery encompasses the diagnosis and treatment of various chest diseases such as lung cancer,esophageal cancer,and mediastinal tumors.The treatment plans for these diseases are complex and often involve a combination of surgery,chemotherapy,and radiotherapy,each with different impacts on the patient's quality of life.Patient-reported outcomes(PRO)and shared decision-making(SDM)are becoming increasingly important in this field.PRO allows patients to directly report their health status and the effects of treatment,aiding doctors in adjusting treatment plans.SDM ensures that treatment plans align with the patient's personal values and preferences through information sharing and joint decision-making.The comprehensive application of PRO and SDM can enhance patient satisfaction and treatment outcomes,though it also faces challenges such as data collection and time management.Future research should focus on developing more efficient PRO tools and SDM processes to improve patient-centered healthcare quality.

关 键 词：胸外科 共同决策 患者报告结局 医患关系 

分 类 号：R655[医药卫生—外科学]