Junge Anne Gram, Risør Mette Bech, Toustrup Kasper, Grau Cai
Institut for Folkesundhed, Afdeling for Almen Medicin, Aarhus Universitet, DK-8000 Arhus C, Denmark.
Ugeskr Laeger. 2010 Jan 25;172(4):274-8.
In 2007 Aarhus University Hospital succeeded in accelerating diagnostic and treatment programs for head and neck cancer patients. The median period from referral to initiation of treatment was reduced from 57 to 29 calendar days. This article reports the results of a qualitative study, which examined whether it was possible for patients to keep up with the program mentally as well as emotionally.
The study is based on semi-structured interviews with 20 head and neck cancer patients.
The patients expressed great satisfaction with the accelerated programmes. Even though patients experienced the accelerated programs as very overwhelming, the vast majority did not at any time wish to postpone continuation of the programme. The study, however, shows that what is most important for the patient is fast treatment, good information and communication and good personal contact with the staff during the programme.
Repetition of information and programme continuity is important as these factors allow patients to "keep up" with the programme. Personal contact and communication between patient and staff is essential for a successful accelerated programme. Time of diagnosis, scheduling of a date for the initial treatment or the start-up of the initial treatment are crucial turning points during the programme - points at which patients started feeling more calm.
2007年，奥胡斯大学医院成功加快了头颈癌患者的诊断和治疗程序。从转诊到开始治疗的中位时间从57个日历日减少到了29个日历日。本文报告了一项定性研究的结果，该研究探讨了患者在心理和情感上是否能够跟上该程序。
该研究基于对20名头颈癌患者的半结构化访谈。
患者对加速程序表示非常满意。尽管患者认为加速程序压力极大，但绝大多数患者在任何时候都不希望推迟该程序的继续进行。然而，该研究表明，对患者来说最重要的是快速治疗、良好的信息和沟通，以及在程序进行期间与工作人员的良好个人接触。
信息的重复和程序的连续性很重要，因为这些因素能让患者跟上程序。患者与工作人员之间的个人接触和沟通对于成功的加速程序至关重要。诊断时间、确定初始治疗日期或开始初始治疗是程序中的关键转折点——在这些点上患者开始感觉更加平静。
