Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Support Care Cancer. 2011 May;19(5):605-11. doi: 10.1007/s00520-010-0859-0. Epub 2010 Mar 27.
It was examined whether nurses and physicians are able to identify whether adolescents with cancer have used certain strategies to cope with disease- and treatment-related distress.
Adolescents (N = 48) were asked whether they had used a number of strategies to cope with disease- and treatment-related distress and, if so, the extent to which they had used these. Nurses and physicians were asked to answer the same questions on behalf of a certain adolescent.
Nurses overestimate the extent to which adolescents use strategies to cope with distress, and neither nurses nor physicians, physicians somewhat more, are successful in identifying the extent to which certain adolescents use strategies.
Health-care staff's possibilities to assess how patients cope with disease- and treatment-related distress should be increased. A number of changes in education and the organization of clinical care, especially with regard to assessing patients' needs, are suggested.
研究护士和医生是否能够识别患有癌症的青少年是否使用了某些策略来应对疾病和治疗相关的困扰。
询问青少年（N=48）是否使用了一些策略来应对疾病和治疗相关的困扰，如果有，他们使用这些策略的程度如何。护士和医生被要求代表某个青少年回答同样的问题。
护士高估了青少年使用策略来应对困扰的程度，而且无论是护士还是医生，医生略多一些，都未能成功识别某些青少年使用策略的程度。
应该增加卫生保健人员评估患者应对疾病和治疗相关困扰的能力。建议在教育和临床护理的组织方面进行一些改变，特别是在评估患者需求方面。
