Timmermans Liesbeth M, van der Maazen Richard W M, Leer Jan Willem H, Kraaimaat Floris W
Department of Medical Psychology, University Medical Centre Nijmegen, The Netherlands.
Psychooncology. 2006 Aug;15(8):713-25. doi: 10.1002/pon.1008.
To assess whether communication in radiotherapy consultations is affected by palliative or curative treatment intent.
The study involved 160 patients and 8 radiation oncologists. Eighty patients visited the radiation oncologist (RO) for palliative treatment and 80 for curative treatment. The consultation prior to radiation treatment was analyzed with the Roter Interaction Analysis System (RIAS). Within three days, patients completed a quality of life questionnaire (EORTC-QLQ-C30).
In palliative radiotherapy (PRT) consultations, ROs asked more (closed-ended) biomedical and psychosocial questions and provided more information on prognosis than in consultations for curative radiotherapy (CRT). Patients in both groups provided a great deal of psychosocial information but asked few questions. The ROs expressed more concerns in the PRT consultations, while patients did not. PRT patients received fewer supportive remarks than CRT patients. In both groups, explicit decision-making received little attention. Proxies who accompanied the patients took a more active role in PRT than in CRT consultations.
Communication in radiotherapy is affected by treatment intent with respect to the main contents of the consultation.
评估放疗会诊中的沟通是否受姑息性或根治性治疗意图的影响。
该研究纳入了160名患者和8名放射肿瘤学家。80名患者因姑息性治疗就诊于放射肿瘤学家（RO），80名因根治性治疗就诊。采用罗特互动分析系统（RIAS）对放疗前的会诊进行分析。在三天内，患者完成了一份生活质量问卷（EORTC-QLQ-C30）。
在姑息性放疗（PRT）会诊中，与根治性放疗（CRT）会诊相比，RO提出了更多（封闭式）生物医学和心理社会问题，并提供了更多关于预后的信息。两组患者都提供了大量心理社会信息，但提问较少。RO在PRT会诊中表达了更多担忧，而患者则没有。PRT患者比CRT患者得到的支持性话语更少。在两组中，明确的决策制定都很少受到关注。陪同患者的代理人在PRT会诊中比在CRT会诊中发挥了更积极的作用。
就会诊的主要内容而言，放疗中的沟通受治疗意图的影响。
