Department of Nursing, Chang Gung Institute of Technology, 261, Wen-Hua 1st Road, Kweishan, Taoyuan, 333, Taiwan.
Oral Oncol. 2009 Nov;45(11):946-52. doi: 10.1016/j.oraloncology.2009.06.002. Epub 2009 Jul 23.
The purposes of this study were to examine and compare the levels of care information needs, information preferences, unmet information needs, and predictive factors between newly diagnosed and surgically treated oral cavity cancer patients. Patients were divided into two groups comprising: (a) diagnosed patients and (b) surgically treated patients. A cross-sectional survey was conducted to assess information needs about care, disease-/treatment-related characteristics, and physical performance function in 109 diagnosed and 113 surgically treated oral cavity cancer patients. The two groups had statistically different levels of care information needs, information preferences about benefits, and side effects of treatment/ surgery. There were clinically meaningful differences in their information concerns. The diagnosed patients' information needs were predicted by previous serious illness experiences, prior alcohol use, anxiety level, education level, time since diagnosis, psychological impact, and religion. The surgically treated patients' information needs were predicted by previous serious illness experiences, prior alcohol use, anxiety level, psychological impact, education level, and marital status.
This study revealed differences in information needs between diagnosed patients and surgically treated oral cavity cancer patients. Results suggest that healthcare professionals should design a protocol to guide development of a comprehensive pre- and postoperative information package to be given to these patients.
本研究旨在考察和比较新诊断和接受手术治疗的口腔癌患者的护理信息需求、信息偏好、未满足的信息需求水平,以及这些需求的预测因素。将患者分为两组:(a)确诊患者和(b)手术治疗患者。采用横断面调查评估了 109 例确诊和 113 例手术治疗口腔癌患者的护理、疾病/治疗相关特征以及身体功能表现的信息需求。这两组在护理信息需求、治疗/手术的获益和副作用的信息偏好方面存在统计学差异。他们的信息关注点存在显著差异。确诊患者的信息需求由既往严重疾病经历、既往饮酒、焦虑水平、教育程度、诊断后时间、心理影响和宗教信仰来预测。手术治疗患者的信息需求由既往严重疾病经历、既往饮酒、焦虑水平、心理影响、教育程度和婚姻状况来预测。
本研究揭示了确诊患者和手术治疗口腔癌患者在信息需求方面的差异。结果表明,医护人员应制定方案,指导制定全面的术前和术后信息包,提供给这些患者。