Hack Thomas F, Degner Lesley F, Parker Patricia A
Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.
Psychooncology. 2005 Oct;14(10):831-45; discussion 846-7. doi: 10.1002/pon.949.
The aim of this review paper is to critique the empirical literature pertaining to the communication needs and goals of cancer patients, and to provide direction for research in this area. According to the conceptual framework of Feldman-Stewart et al., patient-physician communication occurs for the fundamental purpose of addressing each participant's goal(s). This review is divided into two categories of goals: (a) optimal medical management of the cancer, and (b) optimal attention to the patient's psychosocial response to cancer. Optimal medical management includes discussions about disease status and the treatment plan, and the effectiveness of these discussions is frequently determined by assessing patient understanding, satisfaction, and well-being. The literature suggests that cancer patients continue to have unmet communication needs, and communication outcomes are enhanced when physicians attend to the emotional needs of patients. Research gaps in communication research are highlighted, including the need for additional study of several external factors affecting the patient and provider.
本综述论文的目的是对与癌症患者沟通需求和目标相关的实证文献进行批判性分析，并为该领域的研究提供方向。根据费尔德曼 - 斯图尔特等人的概念框架，医患沟通的基本目的是实现每个参与者的目标。本综述分为两类目标：（a）癌症的最佳医疗管理，以及（b）对患者癌症心理社会反应的最佳关注。最佳医疗管理包括关于疾病状况和治疗计划的讨论，这些讨论的有效性通常通过评估患者的理解、满意度和幸福感来确定。文献表明，癌症患者的沟通需求仍未得到满足，当医生关注患者的情感需求时，沟通效果会得到提升。文中强调了沟通研究中的差距，包括需要对影响患者和医疗服务提供者的几个外部因素进行更多研究。
