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沟通技巧培训对癌症护理中患者结局的影响:文献系统评价。

The effect of communication skills training on patient outcomes in cancer care: a systematic review of the literature.

机构信息

Scientific Institute for Quality of Healthcare, IQ Healthcare 114, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands.

出版信息

Eur J Cancer Care (Engl). 2010 Jul;19(4):442-57. doi: 10.1111/j.1365-2354.2009.01082.x. Epub 2009 Dec 17.

Abstract

The objective of this review was to determine whether communication training for healthcare professionals (HCP), including nurses and medical doctors, in cancer care improves patient outcomes. Eligible studies with a focus on patient outcomes and a controlled or single group pretest-posttest design were identified according to Cochrane Collaboration Guidelines. Seven studies, encompassing 10 papers and involving five randomised controlled trials, were included. Studies involved 411 HCP, including a total of 1677 encounters with adult cancer patients. Forty-nine papers were excluded, primarily because no patient outcomes were reported. Regarding patient satisfaction outcomes, estimated effects in favour of communication training ranged from 0.07 (95% CI: -0.30 to 0.44) for satisfaction with information and support to 0.70 (95% CI: 0.16 to 1.24) for satisfaction with assessment of concerns. No evidence was found for the effectiveness of communication training on patient distress outcomes. We concluded that the current review reveals inconclusive evidence to prove the effectiveness of communication training on patient satisfaction and patient distress. More high-quality studies are needed.

摘要

本次综述的目的是确定在癌症护理中对医疗保健专业人员(包括护士和医生)进行沟通培训是否可以改善患者结局。根据 Cochrane 协作组指南,确定了以患者结局为重点且具有对照或单组前后测设计的合格研究。共纳入 7 项研究,涉及 10 篇论文,包括 5 项随机对照试验。这些研究共涉及 411 名医疗保健专业人员,总共涉及 1677 例与成年癌症患者的接触。有 49 篇论文被排除在外,主要是因为没有报告患者结局。关于患者满意度结局,沟通培训效果的估计值从对信息和支持的满意度(0.07;95%CI:-0.30 至 0.44)到对担忧评估的满意度(0.70;95%CI:0.16 至 1.24)不等。没有证据表明沟通培训对患者痛苦结局有效。我们得出结论,本次综述结果提示沟通培训对患者满意度和患者痛苦的有效性证据尚不明确,还需要更多高质量的研究。

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