Screening and Test Evaluation Program, Sydney School of Public Health, Centre for Medical Psychology and Evidence-based Decision-Making, University of Sydney, NSW, Australia.
Patient Educ Couns. 2010 May;79(2):218-24. doi: 10.1016/j.pec.2009.10.010. Epub 2009 Dec 11.
To investigate older cancer patients' informational and emotional cues, how nurses respond to these cues and the effect of cues and responses on patients' information recall.
105 cancer patients (aged >or=65 years) completed a recall questionnaire after an educational session preceding chemotherapy treatment. Recall was checked against the actual communication in videorecordings of the consultations. Patients' emotional and informational cues and subsequent responses by the nurse were rated using an adaptation of the Medical Interview Aural Rating Scale (MIARS).
Patients gave more informational than emotional cues. The most frequent response to emotional cues was distancing followed by acknowledgement. Nurses gave appropriate information in response to the majority of informational cues. Patients' expression of emotional or informational cues did not influence recall; neither did nurses' responses to informational cues. Responses to emotional cues did affect recall. The more nurses responded by giving 'minimal' encouragements (e.g. 'Hmmm'), the more patients recalled, while distancing responses (e.g. switching focus) were associated with lower recall scores.
Responding to patients' emotions is likely to impact information recall.
These results highlight the importance of addressing patients' expressions of emotions in the context of patient education, as it enhances information recall.
探讨老年癌症患者的信息和情感提示、护士对这些提示的反应以及提示和反应对患者信息回忆的影响。
105 名癌症患者（年龄≥65 岁）在化疗治疗前的教育课程后完成了回忆问卷。回忆通过咨询录像的实际交流进行检查。使用医学访谈听觉评定量表（MIARS）的改编版评估患者的情感和信息提示以及护士随后的反应。
患者提供了更多的信息提示而不是情感提示。对情感提示最常见的反应是回避，其次是承认。护士对大多数信息提示做出了适当的回应。患者表达情感或信息提示不会影响回忆；护士对信息提示的反应也没有影响。对情感提示的反应确实会影响回忆。护士给予“最小”鼓励（例如“嗯”）的反应越多，患者回忆的就越多，而回避反应（例如转移焦点）与较低的回忆分数相关。
回应患者的情绪可能会影响信息回忆。
这些结果强调了在患者教育背景下处理患者情绪表达的重要性，因为它增强了信息回忆。
