Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Eur J Cancer Care (Engl). 2010 May;19(3):382-92. doi: 10.1111/j.1365-2354.2009.01070.x. Epub 2009 Aug 17.
The main aim of the present study was to investigate whether patient-nurse dis/agreement concerning cancer patients' situation was of importance to patients' satisfaction with care. Another aim was to describe cancer patients' satisfaction with care and to investigate its relationship to cancer patients' emotional distress. A consecutive sample of individual patient-nurse pairs (n = 82) was recruited and followed during 3 days. Each pair consisted of a cancer patient newly admitted to an oncological/haematological ward and a nurse responsible for that patient's care. The known phenomenon of nurse overestimation of cancer patients' problems did not appear to be of importance to patients' satisfaction with care. However, patients whose depressive problems were underestimated by nurses were significantly less satisfied with the care they received. Furthermore, anxious and depressed patients were less satisfied with some aspects of the care they received than were the remaining patients. Although the patients' ratings and experiences of received care indicated a high degree of satisfaction, the patients also expressed negative experiences of care. To improve the quality of cancer care, nurses need to improve their ability to identify cancer patients' emotional distress if they are to satisfy patients' needs.
本研究的主要目的是探讨患者与护士对癌症患者病情的意见分歧是否对患者对护理的满意度有重要影响。另一个目的是描述癌症患者对护理的满意度，并探讨其与癌症患者情绪困扰的关系。招募了一个连续的个体患者-护士配对样本（n=82），并在 3 天内对其进行随访。每个配对都由一名新入院肿瘤科/血液科病房的癌症患者和一名负责该患者护理的护士组成。护士高估癌症患者问题的已知现象似乎对患者对护理的满意度没有重要影响。然而，护士低估了患者抑郁问题的患者对所接受的护理明显不满意。此外，焦虑和抑郁的患者对所接受的护理的某些方面的满意度低于其余患者。尽管患者对所接受的护理的评价和体验表明满意度很高，但患者也表达了对护理的负面体验。为了提高癌症护理的质量，如果护士要满足患者的需求，就需要提高识别癌症患者情绪困扰的能力。
