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[波鸿耳鼻咽喉科癌症术后护理调查问卷:临床应用的初步结果]

[The Bochum aftercare questionnaire for cancer in otorhinolaryngology: first results of clinical application].

作者信息

Marek A, Dazert S

机构信息

Klinik für Hals-Nasen-Ohren-Heilkunde sowie Kopf- und Hals-Chirurgie, Ruhr-Universität, Bochum.

出版信息

HNO. 2007 Feb;55(2):109-13. doi: 10.1007/s00106-006-1435-2.

Abstract

BACKGROUND

The damage caused by cancer disease is multidimensional, affecting a patient physically, emotionally, and intellectually. A post-cancer documentation system is necessary that takes into account a patient's psychosocial well-being. With this objective in mind, the aftercare journal was developed for tumor diseases in otorhinolaryngology in the Department of Otorhinolaryngology of the Ruhr University Bochum.

METHODOLOGY AND PATIENTS

From April 2002 to May 2003, 112 patients received a standardized questionnaire to evaluate the aftercare journal newly introduced in Germany for ENT tumor diseases. Six items were presented: outer appearance, format/size of the journal, clarity in the design, recording areas relevant to the disease, improvement in the tumor aftercare, and personal feeling of safety. An evaluation scale of zero to four points served as the basis for assessment. A high point value represented the higher degree of patient satisfaction for each respective item.

RESULTS

In all six items, the assessment of the journal predominantly showed agreement of the patients. Assessing the improvement in tumor aftercare and providing a personal feeling of safety, patients with shorter disease remission had a tendency to allocate low point values.

CONCLUSION

The aftercare journal for ENT sets the trend for documentation systems in cancer aftercare. The study proved the need to consider concerns of the disease related to medical and psychosomatic factors in patients as a standard for modern psychosocial oncology.

摘要

背景

癌症疾病造成的损害是多方面的,会在身体、情感和智力上影响患者。因此需要一个考虑患者心理社会福祉的癌症后治疗记录系统。出于这一目的,鲁尔大学波鸿分校耳鼻喉科针对耳鼻喉肿瘤疾病开发了术后护理日志。

方法与患者

2002年4月至2003年5月,112名患者收到了一份标准化问卷,以评估德国新推出的针对耳鼻喉肿瘤疾病的术后护理日志。问卷包含六个项目:外观、日志的格式/尺寸、设计清晰度、与疾病相关的记录区域、肿瘤术后护理的改善情况以及个人安全感。评估量表采用0至4分制作为评估依据。高分值代表患者对各项目的满意度更高。

结果

在所有六个项目中,患者对日志的评估大多表示认同。在评估肿瘤术后护理的改善情况和提供个人安全感方面,疾病缓解期较短的患者倾向于给出低分。

结论

耳鼻喉术后护理日志为癌症后治疗记录系统树立了典范。该研究证明,将患者与疾病相关的医疗和身心因素考虑在内作为现代心理社会肿瘤学的标准是很有必要的。

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