Institute of Psychotherapy and Medical Psychology, Rehabilitation Sciences Section, University of Würzburg, Germany.
Patient Educ Couns. 2009 Jul;76(1):91-8. doi: 10.1016/j.pec.2008.11.021. Epub 2009 Jan 19.
Although patient education may enhance knowledge, coping with illness, and quality of life among cancer patients, it is uncertain which didactic method is most effective. We compared the impact of an interactive, patient-oriented group program to a lecture-based, information-only program in gastric cancer patients.
In this prospective, controlled trial, 121 gastric cancer patients attending inpatient rehabilitation after surgical treatment received either the interactive intervention or lectures providing information. The outcomes were patients' disease-related knowledge, active coping with illness, and quality of life (QoL) at the end of their stay and 6 and 12 months thereafter.
Both groups improved their knowledge and QoL during rehabilitation; however, knowledge was significantly higher in the interactive group compared to the lecture group. This difference was maintained at the 6- and 12-months follow-ups. In addition, the interactive group proved superior to the lecture group regarding active coping with illness and QoL at the end of rehabilitation, but not during follow-up.
A structured, interactive patient education program proved superior to lecture-based provision of information in regards to short-term and long-term knowledge as well as short-term coping and QoL.
In gastric cancer patients, interactive patient education seems preferable over lectures.
尽管患者教育可以提高癌症患者的知识水平、应对疾病的能力和生活质量，但哪种教学方法最有效尚不确定。我们比较了一种互动式、以患者为中心的团体方案与基于讲座、仅提供信息的方案对胃癌患者的影响。
在这项前瞻性、对照试验中，121 名接受手术治疗后住院康复的胃癌患者接受了互动干预或讲座，以提供信息。在康复结束时以及 6 个月和 12 个月后评估患者的疾病相关知识、积极应对疾病的能力和生活质量（QoL）。
两组患者在康复期间都提高了知识和 QoL；然而，互动组的知识明显高于讲座组。这种差异在 6 个月和 12 个月的随访中仍然存在。此外，互动组在康复结束时在积极应对疾病和 QoL 方面优于讲座组，但在随访期间并非如此。
与基于讲座的信息提供相比，结构化、互动式的患者教育方案在短期和长期知识以及短期应对和 QoL 方面更具优势。
在胃癌患者中，互动式患者教育似乎优于讲座。
