Glynne-Jones R, Ostler P, Lumley-Graybow S, Chait I, Hughes R, Grainger J, Leverton T J
Barnet and Chase Farm NHS Trust, London, UK.
Clin Oncol (R Coll Radiol). 2006 Jun;18(5):395-400. doi: 10.1016/j.clon.2006.01.005.
We introduced a patient 'prompt sheet' into our clinic between January 2004 and January 2005. The aim was to determine whether it would facilitate communication and help patients in obtaining their desired level of information about their illness, and assist with decision making. We conducted an audit survey to investigate the way follow-up takes place in our oncology clinic, to determine what works and what does not work in the clinic, and to examine how patients access the most useful information and to assess the utility of, and patient satisfaction with, a locally developed pilot prompt sheet.
A single questionnaire was designed to elicit information on patients' information needs, overall satisfaction with the oncology clinic, and uptake and perceived usefulness of the prompt sheet. We carried out an audit survey in the form of a Likert-scale questionnaire (33 questions), followed immediately afterwards by a semi-structured interview. A specialist nurse asked a range of open questions about what was good and bad about the clinic and the prompt sheets.
Despite efforts to ensure that all patients received the prompt-sheet leaflets, only 254 out of 300 (85%) received them. Of these, 195 (65%) felt that they were 'very helpful', and 30 (10%) found them 'fairly helpful'. However, 15 (5%) had no strong feelings and only three found them either fairly or completely unhelpful. One-third of the patients were able to ask more questions about their disease as a result of the prompt sheet, although they felt the doctor was busy and did not want to take up too much of their time. Men with prostate cancer found the prompt sheet particularly helpful to ask questions.
This satisfaction audit suggests that our pilot prompt sheet is helpful to patients attending oncology outpatient appointments, particularly for men with prostate cancer. We aim to adapt the present prompt sheet on the basis of the replies obtained, and re-audit in the future.
2004年1月至2005年1月期间，我们在诊所引入了患者“提示单”。目的是确定它是否能促进沟通，帮助患者获取他们想要的关于自身疾病的信息水平，并协助决策。我们进行了一项审核调查，以研究我们肿瘤诊所的随访方式，确定诊所中哪些做法有效、哪些无效，检查患者如何获取最有用的信息，并评估一份本地制定的试点提示单的效用及患者满意度。
设计了一份单一问卷，以获取有关患者信息需求、对肿瘤诊所的总体满意度以及提示单的使用情况和感知有用性的信息。我们以李克特量表问卷（33个问题）的形式进行了审核调查，随后立即进行了半结构化访谈。一名专科护士询问了一系列关于诊所和提示单优缺点的开放式问题。
尽管努力确保所有患者都收到提示单传单，但300名患者中只有254名（85%）收到了。其中，195名（65%）认为它们“非常有帮助”，30名（10%）觉得它们“比较有帮助”。然而，15名（5%）没有强烈感受，只有3名认为它们有点或完全没有帮助。三分之一的患者由于提示单能够就他们的疾病提出更多问题，尽管他们觉得医生很忙，不想占用太多他们的时间。前列腺癌患者发现提示单对提问特别有帮助。
这项满意度审核表明，我们的试点提示单对参加肿瘤门诊预约的患者有帮助，特别是对前列腺癌患者。我们旨在根据所获得的答复对当前的提示单进行调整，并在未来重新进行审核。
