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老年癌症晚期患者决策疲劳的研究进展

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老年癌症晚期患者往往面临着复杂的医疗决策,在连续的决策过程中,受年龄、健康状况、认知功能等因素的影响,会出现决策疲劳,导致不能及时做出正确的决策,错失治疗的时机.本文简述了决策疲劳的定义与临床表现特点,介绍了相关决策疲劳的评估工具、影响因素及目前开展的临床干预措施等,介绍了近期相关研究进展.发现老年癌症晚期患者决策疲劳的机制和影响因素仍需进一步探索,可协助患者进行医疗决策的智能工具是目前研究的空白点,患者有需求;另外疾病科普教育仍需广泛开展,以提高患者认识,未来研究还应加强多中心的横断面调查的来明确干预癌症晚期患者的决策疲劳问题的措施,为临床护理工作提供更为有效的指导.
Research progress of decision-making fatigue in elderly patients with advanced cancer
Elderly patients with advanced cancer often face complex medical decision-making.In the continuous decision-making process,there will be decision-making fatigue performance due to the influence of age,health status,cognitive function and other fac-tors,lead to a timely failure to make the right decision,missed the opportunity for treatment.This paper briefly introduces the defini-tion and clinical characteristics of decision fatigue,the assessment tools,influencing factors and clinical interventions of decision fa-tigue,and the recent research progress.It is found that the mechanism and influencing factors of decision-making fatigue in elderly patients with advanced cancer needs to be further explored in addition,popular science education on diseases should be widely car-ried out to improve patients'awareness,and future research should also strengthen the multi-center cross-sectional survey to clarify the intervention measures on decision-making fatigue of patients with advanced cancer,to provide more effective guidance for clinical nursing work.

the agedcanceradvanceddecision fatigue

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云南省第一人民医院肝胆胰外科 650034

老年人 癌症 晚期 决策疲劳

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(4)