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31.
A longitudinal communication approach in advanced lung cancer: A qualitative study of patients’, relatives’ and staff's perspectives 下载免费PDF全文
M. Villalobos MD K. Coulibaly MD K. Krug Dr. Dipl.‐Psych. M. Kamradt MSc M. Wensing PhD MSc A. Siegle MA J. Kuon MD C. Eschbach MD G. Tessmer Dipl.‐Psych. E. Winkler MD PhD J. Szecsenyi MD D. Ose MPH M. Thomas MD 《European journal of cancer care》2018,27(2)
Communication and the care of patients with advanced cancer are a dynamic, interactive and challenging process, often characterised in every day practice by discontinuity and lack of coordination. The objective of this study was to explore the patients’ and family‐caregivers’ needs and preferences regarding communication, quality of life and care over the trajectory of disease. The second aim was to assess health professionals’ views on a longitudinally structured, forward‐thinking communication approach based on defined milestones. A qualitative approach was chosen incorporating semi‐structured interviews with nine patients with metastatic lung cancer and nine relatives, and focus groups with 15 healthcare providers from different professions involved in the care of these patients. Patients and relatives described a situation of shock and coping deficits with moments of insufficient communication and lack of continuity in care. Healthcare providers reported the strong need for improvement in communication within the team and between patients and professionals and welcomed the implementation of a longitudinal communication approach. Requirements for the implementation of a longitudinal communication approach include specific communication training with focus on the process that patients and relatives are involved in. Team‐building measures and the necessary flexibility to respect individuality in life should be incorporated. 相似文献
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Implementing Dementia Care Mapping to develop person‐centred care: results of a process evaluation within the Leben‐QD II trial 下载免费PDF全文
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Prof. Dr. A.S. Neubauer Dipl. Kfm. C.W. Hirneiß 《Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft》2014,111(8):791-802
Screening is a strategy used in a systematic approach to identify an unrecognized disease or risk factors in individuals in a population without signs or symptoms. The test characteristics (specificity and sensitivity) and the prevalence of the disease are of vital importance for the achievable quality of prediction. Multidimensional decision-making must not only consider the benefits of screening but also its potential disadvantages, such as overtreatment, diagnostics of unclear findings and the psychological impact on healthy individuals. Besides medical, ethical and test theoretical considerations, economic considerations also have to be included in decision-making on a screening program. In Germany, a nationwide screening for diabetic retinopathy and regional programs for amblyopia screening exist. Screening for glaucoma or age-related macular degeneration is currently not funded by the statutory health insurance. 相似文献
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Dipl.-Soz. A. Ullrich H. M. B?ttcher C. Bergelt 《Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz》2012,55(4):516-534
Due to improved prognosis most cancer survivors are nowadays able to return to work. This review explored gender-related differences in work-related outcomes after cancer. A systematic search of studies on work-related issues in cancer survivors published between January 2001 and July 2011 was conducted. 44 original publications met the inclusion criteria (adult cancer survivors, focus on work-related outcomes, gender-specific report of results). The results of these studies indicate that impaired work ability is more common among female cancer survivors than among male cancer survivors as well as the reduction of working hours and income losses. Supportive work environments seem to be particularly helpful for the successful and long-lasting re-integration of female survivors. More systematic research and separate analyses for women and men are needed to fully comprehend gender differences in work-related outcomes. Broader knowledge can then be helpful in creating gender-specific return-to-work interventions. 相似文献