Psycho-Oncology Unit, Institut Curie, 26 rue d'Ulm, 75.246, Paris Cedex 05, France.
Support Care Cancer. 2009 Dec;17(12):1507-16. doi: 10.1007/s00520-009-0617-3. Epub 2009 Apr 3.
This pilot study was designed to evaluate the impact of management by the Interdisciplinary Supportive Care Department for Cancer Patients (Département Interdisciplinaire de Soins de Support pour le Patient en Oncologie-DISSPO) at the Institut Curie in Paris, France on patient quality of life and satisfaction with care.
Patients hospitalised for cancer treatment and referred to DISSPO during their hospitalisation were invited to complete the European Organization for Research and Treatment of Cancer core quality of life (EORTC QLQ-C30) and patient satisfaction (EORTC IN-PATSAT32) questionnaires during the week following their initial management by DISSPO (T0) and 2 months later (T1). These patients were compared with control patients matched for age, gender, ward and period of hospitalisation in terms of quality of life and satisfaction with care.
One hundred fourteen (77%) DISSPO patients at T0 and 72 (48%) patients at T1 and 102 (89%) control patients at T0 and 66 (57%) at T1 returned their completed questionnaires. Baseline characteristics of DISSPO patients and control patients were significantly different in terms of duration of the current hospitalisation, interval between the date of diagnosis of the cancer and inclusion in the study (both longer for DISSPO patients) and Karnofsky performance status (lower for DISSPO patients). For the 43 pairs of patients who completed the questionnaires at the two time points, significant independent positive effects of management by DISSPO and age (less than or equal to 60 years) were demonstrated for patient satisfaction in relation to the availability of the nursing and paramedical team. In particular, patients over the age of 60 not managed by DISSPO presented a significant reduction of patient satisfaction scores over the 2 months compared to age-matched patients managed by DISSPO.
Management of cancer patients by an interdisciplinary supportive care department appears to have a positive impact on patient satisfaction in relation to availability of the nursing and paramedical team. These results need to be confirmed in a larger study.
本研究旨在评估法国巴黎居里研究所（Institut Curie）的肿瘤患者多学科支持护理部（Département Interdisciplinaire de Soins de Support pour le Patient en Oncologie-DISSPO）对患者生活质量和护理满意度的影响。
住院接受癌症治疗并在住院期间被转介至 DISSPO 的患者被邀请在 DISSPO 首次管理后的一周内（T0）和 2 个月后（T1）填写欧洲癌症研究与治疗组织核心生活质量问卷（EORTC QLQ-C30）和患者满意度问卷（EORTC IN-PATSAT32）。这些患者与年龄、性别、病房和住院时间匹配的对照组患者进行比较，以评估生活质量和护理满意度。
在 T0 时，114 名（77%）DISSPO 患者和 72 名（48%）T1 患者以及 102 名（89%）对照组患者和 66 名（57%）T1 患者返回了完成的问卷。DISSPO 患者和对照组患者的基线特征在当前住院时间、癌症诊断日期和纳入研究之间的间隔（均为 DISSPO 患者较长）和 Karnofsky 表现状态（DISSPO 患者较低）方面存在显著差异。对于在两个时间点完成问卷的 43 对患者，DISSPO 管理和年龄（小于或等于 60 岁）对护理和辅助医疗团队可用性的患者满意度有显著的独立积极影响。特别是，与年龄匹配的由 DISSPO 管理的患者相比，未接受 DISSPO 管理的 60 岁以上患者在 2 个月内的患者满意度评分显著下降。
多学科支持护理部门对癌症患者的管理似乎对护理满意度有积极影响，与护理和辅助医疗团队的可用性有关。这些结果需要在更大的研究中得到证实。
