Hack Thomas F, Pickles Tom, Bultz Barry D, Ruether J Dean, Degner Lesley F
Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.
Psychooncology. 2007 Jun;16(6):543-52. doi: 10.1002/pon.1094.
The purpose of this investigation was to systematically examine the efficacy of providing men with prostate cancer with an audiotape of their primary treatment consultation.
Participants included 425 men newly diagnosed with prostate cancer and 15 radiation oncologists from 4 cancer centers in Canada. Patients were block randomized to one of four consultation groups: 1. Standard care control--not audio-taped; 2. Audio-taped--no audiotape given; 3. Audio-taped--patient given audiotape; and 4. Audio-taped--patient offered choice of receiving audiotape or not (4 patients declined; 94 accepted). Patient outcomes were measured at 12 weeks post-consultation: perceived degree of information provision; audiotape satisfaction and use; communication satisfaction with oncologist; mood state; and cancer-specific quality of life.
Patients receiving the consultation audiotape reported having been provided with significantly more disease and treatment information in general (p=0.04), and more information about treatment alternatives (p=0.04) and treatment side effects (p=0.01) in particular, than patients who did not receive the audiotape. Audiotape benefit was not significantly related to patient satisfaction with communication, mood state or quality of life at 12 weeks post-consultation, and was not significantly affected by choice of receiving the audiotape. Patients rated the audiotape intervention positively, with an average score of 83.0 out of 100.
Consultation audiotapes are rated highly by men with prostate cancer, and these audiotapes help to enhance their perception of having been provided with critical disease- and treatment-related information.
本研究的目的是系统地检验为前列腺癌患者提供其初次治疗咨询录音带的效果。
参与者包括425名新诊断为前列腺癌的男性患者以及来自加拿大4个癌症中心的15名放射肿瘤学家。患者被整群随机分为4个咨询组之一：1. 标准护理对照组——未进行录音；2. 录音组——未提供录音带；3. 录音组——向患者提供录音带；4. 录音组——患者可选择是否接受录音带（4名患者拒绝；94名接受）。在咨询后12周测量患者的结果：感知到的信息提供程度；录音带满意度和使用情况；与肿瘤学家的沟通满意度；情绪状态；以及癌症特异性生活质量。
与未收到录音带的患者相比，收到咨询录音带的患者总体上报告获得了显著更多的疾病和治疗信息（p = 0.04），特别是关于治疗选择（p = 0.04）和治疗副作用（p = 0.01）的信息。在咨询后12周，录音带的益处与患者对沟通的满意度、情绪状态或生活质量没有显著相关性，并且不受接受录音带选择的显著影响。患者对录音带干预给予了积极评价，平均得分为83.0（满分100分）。
前列腺癌男性患者对咨询录音带评价很高，这些录音带有助于增强他们对已获得关键疾病和治疗相关信息的感知。
