Llewellyn C D, McGurk M, Weinman J
Health Psychology Section, Division of Psychology, Institute of Psychiatry (Guy's Campus) King's College London, and Department of Oral Surgery, Guy's Hospital NHS Trust, SE1 9RT, UK.
Oral Oncol. 2006 Aug;42(7):726-34. doi: 10.1016/j.oraloncology.2005.11.013. Epub 2006 Mar 10.
Recent UK government recommendations state that high quality information must be provided for cancer patients. The objectives of this study were firstly, to explore how satisfied head and neck cancer (HNC) patients were with information provided about their illness and treatment, in order to identify areas of improvement. Secondly, to assess the extent to which satisfaction with information before treatment was predictive of long-term outcomes. Patients completed the satisfaction with information profile (SCIP), the Hospital Anxiety and Depression Scale (HADS) and the SF-12 Health Survey (SF-12v2) before treatment (n=82), 1 month after the end of treatment (n=68) and 6-8 months later (n=50). Patients were generally satisfied with information, however key areas of improvement were identified, such as the provision of information about support groups, where to go for financial advice and the long-term affects of treatment on ability to work, physical functioning and QoL. Satisfaction with information before treatment was predictive of depression and Mental Component Summary scores (HR-QoL) 6-8 months after the end of treatment. This study highlights the need for tailored information provision and the impact on longitudinal outcomes of satisfying patient's needs for information prior to treatment.
英国政府近期的建议指出,必须为癌症患者提供高质量信息。本研究的目的,其一,是探究头颈癌(HNC)患者对所提供的关于其疾病及治疗信息的满意程度,以确定可改进之处。其二,评估治疗前对信息的满意度在多大程度上可预测长期结果。患者在治疗前(n = 82)、治疗结束后1个月(n = 68)以及6 - 8个月后(n = 50)分别完成了信息满意度量表(SCIP)、医院焦虑抑郁量表(HADS)以及SF - 12健康调查(SF - 12v2)。患者总体上对信息感到满意,不过也确定了一些关键的改进领域,比如提供关于支持小组的信息、获取财务建议的途径以及治疗对工作能力、身体机能和生活质量的长期影响。治疗前对信息的满意度可预测治疗结束后6 - 8个月的抑郁情况和心理成分总结得分(健康相关生活质量)。本研究强调了提供量身定制信息的必要性,以及在治疗前满足患者信息需求对纵向结果的影响。