McClement S E, Hack T F
Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, R3T 2N2, Canada.
Patient Educ Couns. 1999 Mar;36(3):229-38. doi: 10.1016/s0738-3991(98)00095-0.
An increased amount of research has been conducted to evaluate interventions for improving the quality of communication between cancer patients and health care providers. One of these interventions involves providing patients with audiotapes of their consultations with oncologists. Given that effective patient-physician communication has been linked to beneficial health outcomes, an examination of studies that have evaluated the effects of audiotape provision appears warranted. This article provides a critical review of this literature. The audiotape intervention has been examined in uncontrolled studies and randomized trials, and the primary outcome variables have included psychological well-being, information recall, and patient satisfaction. The empirical literature is unclear as to the efficacy of providing patients with taped recordings of cancer consultations. Overall, the findings suggest that the majority of patients benefit from receiving the audiotape, but the utility of this intervention in improving patient-physician communication requires further examination. Replication studies and well-controlled experimental designs applied to a variety of health care providers in diverse oncology settings are needed to confirm the validity of the empirical findings to date, and to facilitate further development of interventions aimed at enhancing patient-physician communication.
为评估改善癌症患者与医疗服务提供者之间沟通质量的干预措施，人们开展了越来越多的研究。其中一项干预措施是为患者提供他们与肿瘤学家会诊的录音带。鉴于有效的医患沟通与有益的健康结果相关联，对评估提供录音带效果的研究进行审查似乎很有必要。本文对这一文献进行了批判性综述。录音带干预措施已在非对照研究和随机试验中进行了检验，主要结果变量包括心理健康、信息回忆和患者满意度。关于为患者提供癌症会诊录音的效果，实证文献并不明确。总体而言，研究结果表明，大多数患者从收到录音带中受益，但这种干预措施在改善医患沟通方面的效用还需要进一步研究。需要进行复制研究，并将设计良好的对照实验应用于不同肿瘤学环境中的各种医疗服务提供者，以确认迄今为止实证研究结果的有效性，并促进旨在加强医患沟通的干预措施的进一步发展。
