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利用患者和医疗服务提供者的观点来开发一个面向被诊断患有乳腺癌的女性的患者导向型网站。

The use of patient and provider perspectives to develop a patient-oriented website for women diagnosed with breast cancer.

作者信息

Clayman Marla L, Boberg Eric W, Makoul Gregory

机构信息

Center for Communication and Medicine and Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

Patient Educ Couns. 2008 Sep;72(3):429-35. doi: 10.1016/j.pec.2008.05.032. Epub 2008 Jul 23.

Abstract

OBJECTIVE

Develop a patient education program that provides accurate and easy-to-understand information for newly diagnosed breast cancer patients.

METHODS

To inform development of the patient education program, we conducted a longitudinal series of semi-structured interviews with 30 breast cancer patients as well as one-time interviews with 22 healthcare providers. Responses guided the study team's decisions regarding both form and content.

RESULTS

We created a website (www.cancercarelinks.org) that reflects the needs expressed by patients and providers. The website is structured to answer six key questions that emerged in the interviews: What does my diagnosis mean? What will my treatment be like? Who will be involved with my treatment? What has treatment been like for others? How can I share my story with my family and friends? Where can I find more information and support? In a beta-test, 12 breast cancer patients rated the website as very clear, informative, trustworthy, useful, easy-to-understand, and easy to use.

CONCLUSION

The emotional weight of a breast cancer diagnosis, coupled with the amount of disparate information available, can be overwhelming for patients. Providing clear, accurate, and tailored information is a way to meet information needs and allay fears that patients will receive "bad" information.

PRACTICE IMPLICATIONS

Combining patient and provider input with the perspectives of a multidisciplinary team resulted in a promising patient education program for women diagnosed with breast cancer. The logic of this approach has implications for developing patient education programs for a variety of clinical contexts.

摘要

目的

制定一项患者教育计划,为新确诊的乳腺癌患者提供准确且易于理解的信息。

方法

为了为患者教育计划的制定提供信息依据,我们对30名乳腺癌患者进行了一系列纵向半结构化访谈,并对22名医疗服务提供者进行了一次性访谈。这些反馈指导了研究团队在形式和内容方面的决策。

结果

我们创建了一个网站(www.cancercarelinks.org),该网站反映了患者和医疗服务提供者所表达的需求。该网站的结构旨在回答访谈中出现的六个关键问题:我的诊断意味着什么?我的治疗会是怎样的?谁会参与我的治疗?其他人的治疗情况如何?我如何与家人和朋友分享我的故事?我在哪里可以找到更多信息和支持?在一次试用测试中,12名乳腺癌患者将该网站评为非常清晰、信息丰富、值得信赖、有用、易于理解且易于使用。

结论

乳腺癌诊断带来的情感压力,再加上可得的各种不同信息,可能会让患者不堪重负。提供清晰、准确且量身定制的信息是满足患者信息需求并减轻他们对会收到“坏”消息的担忧的一种方式。

实践意义

将患者和医疗服务提供者的意见与多学科团队的观点相结合,为确诊乳腺癌的女性带来了一个有前景的患者教育计划。这种方法的逻辑对为各种临床情况制定患者教育计划具有启示意义。

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