Timmermans Liesbeth M, van der Maazen Richard W M, van Spaendonck Karel P M, Leer Jan Willem H, Kraaimaat Floris W
Department of Medical Psychology, 840 Medical Psychology, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
Patient Educ Couns. 2006 Oct;63(1-2):55-63. doi: 10.1016/j.pec.2005.08.010. Epub 2006 Apr 27.
Several studies have shown that patients' active participation to their medical interaction is beneficial for their information processing and their quality of life. Unfortunately, cancer patients often act rather passively in contact with their oncologists. We investigated whether cancer patients' participation in radiation therapy consultations could be enhanced by specific communicative behaviours of the radiation oncologists (ROs).
Eight ROs and 160 patients participated; 80 patients in the pre training group and 80 patients in the post training group. The ROs were trained to use specific communicative behaviours that are supposed to encourage patient participation. In the training special attention was paid to communicative requirements in the first minutes of the consultation. The communicative behaviours of the ROs and the cancer patients were measured by the Roter Interaction Analysis System, and compared before and after the RO training.
From the start throughout the entire consultation, patients in the post training group participated more in interactions than patients in the pre training group: they discussed more psychosocial issues, expressed more concerns and contributed more to decision-making.
Cancer patients' participation in the initial radiation oncology consultations can be increased by training of ROs.
The results suggest that doctors working with cancer patients should receive communication training and feedback on a regular base.
多项研究表明，患者积极参与医疗互动对其信息处理和生活质量有益。不幸的是，癌症患者在与肿瘤学家接触时往往表现得较为被动。我们调查了放射肿瘤学家（ROs）的特定沟通行为是否能增强癌症患者在放射治疗咨询中的参与度。
8名ROs和160名患者参与；80名患者在训练前组，80名患者在训练后组。ROs接受培训以使用旨在鼓励患者参与的特定沟通行为。在培训中，特别关注咨询开始几分钟内的沟通要求。通过罗特互动分析系统测量ROs和癌症患者的沟通行为，并在RO培训前后进行比较。
从咨询开始到整个过程，训练后组的患者比训练前组的患者更多地参与互动：他们讨论了更多的心理社会问题，表达了更多的担忧，并对决策做出了更多贡献。
通过对ROs的培训可以提高癌症患者在初始放射肿瘤学咨询中的参与度。
结果表明，与癌症患者打交道的医生应定期接受沟通培训和反馈。
