Powe Barbara D, Daniels Elvan C, Finnie Ramona
Special Populations Research, American Cancer Society, Atlanta, GA 30329, USA.
J Am Acad Nurse Pract. 2005 Aug;17(8):318-24. doi: 10.1111/j.1745-7599.2005.0049.x.
To describe perceptions of cancer fatalism and identify demographic correlates; to explore whether providers believe their patients are fatalistic about cancer and compare these views to the patients' views.
Both patients (n= 52) and providers (n= 35) were recruited at federally funded, community primary care centers. Data were collected using the Powe Fatalism Inventory, the Perceived Patient Fatalism Inventory, and a demographic data questionnaire. Data were analyzed using descriptive statistics, Pearson correlations, and t-test.
The majority of patients were African American women. The majority of providers were physicians and nurses. Patients indicated low perceptions of cancer fatalism, but providers believed patients were highly fatalistic. As the patients' educational level increased, perceptions of cancer fatalism decreased.
The providers' belief that patients are fatalistic about cancer may influence patient-provider communication. They may be less likely to recommend screening, and patients may be less likely to initiate a discussion about cancer. Strategies are needed that target providers and their patients to address actual and/or perceived perceptions and their influence on cancer screening.
描述对癌症宿命论的认知并确定人口统计学相关因素；探讨医疗服务提供者是否认为其患者对癌症持宿命论观点，并将这些观点与患者自身的观点进行比较。
在联邦政府资助的社区初级保健中心招募了患者（n = 52）和医疗服务提供者（n = 35）。使用鲍伊宿命论量表、感知患者宿命论量表和一份人口统计学数据问卷收集数据。采用描述性统计、皮尔逊相关性分析和t检验对数据进行分析。
大多数患者为非裔美国女性。大多数医疗服务提供者是医生和护士。患者表示对癌症宿命论的认知较低，但医疗服务提供者认为患者高度宿命论。随着患者教育水平的提高，对癌症宿命论的认知降低。
医疗服务提供者认为患者对癌症持宿命论观点可能会影响医患沟通。他们可能不太可能推荐筛查，而患者也可能不太可能发起关于癌症的讨论。需要针对医疗服务提供者及其患者制定策略，以解决实际的和/或感知到的认知及其对癌症筛查的影响。
