Clayton Margaret F, Dudley William N, Musters Adrian
College of Nursing, University of Utah, Salt Lake City, UT 84112-5880, USA.
Health Commun. 2008;23(3):207-21. doi: 10.1080/10410230701808376.
Breast cancer survivors must manage chronic side effects of original treatment. To manage these symptoms, communication must include both biomedical and contextual lifestyle factors. Sixty breast cancer survivors and 6 providers were recruited to test a conceptual model developed from uncertainty in illness theory and the dimensions of a patient-centered relationship. Visits were audio-taped, then coded using the Measure of Patient-Centered Communication (Brown, Stewart, & Ryan, 2001). Consultations were found to be 52% patient-centered. Chi-square Automatic Interaction Detection (CHAID) analysis showed that survivor self-reported fatigue level and conversation about symptoms were associated with survivor uncertainty, mood state, and survivor perception of patient-centered communication. Survivors may want to discuss persistent symptom concerns with providers, due to concerns about recurrence, and discuss lifestyle contextual concerns with others.
乳腺癌幸存者必须应对初始治疗带来的慢性副作用。为了应对这些症状，沟通必须同时涵盖生物医学和背景生活方式因素。招募了60名乳腺癌幸存者和6名医护人员，以测试一个基于疾病不确定性理论和以患者为中心的关系维度所开发的概念模型。访视过程进行了录音，然后使用以患者为中心的沟通测量方法（Brown、Stewart和Ryan，2001年）进行编码。结果发现，会诊中有52%是以患者为中心的。卡方自动交互检测（CHAID）分析表明，幸存者自我报告的疲劳水平以及关于症状的交谈，与幸存者的不确定性、情绪状态以及幸存者对以患者为中心的沟通的认知有关。由于对复发的担忧，幸存者可能希望与医护人员讨论持续的症状问题，并与其他人讨论生活方式背景方面的问题。
