Department of Medical Psychology and Neuropsychology, CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University, Tilburg; Comprehensive Cancer Centre South (CCCS), Department of Research, Eindhoven Cancer Registry, Eindhoven, The Netherlands.
Department of Medical Psychology and Neuropsychology, CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University, Tilburg; Comprehensive Cancer Centre South (CCCS), Department of Research, Eindhoven Cancer Registry, Eindhoven, The Netherlands.
Ann Oncol. 2011 Apr;22(4):761-772. doi: 10.1093/annonc/mdq413. Epub 2010 Sep 24.
Providing information that is congruent with patients' needs is an important determinant for patient satisfaction and might also affect health-related quality of life (HRQoL) and anxiety and depression levels of cancer survivors.
The authors systematically reviewed the available literature on the relationship between information provision and HRQoL, anxiety and depression. A PubMed literature search for original articles published until February 2010 was carried out. Twenty-five articles, all conducted between 1996 and 2009, which met the predefined inclusion criteria, were subjected to a quality checklist.
Satisfied patients, patients with fulfilled information needs, and patients who experience less information barriers, in general have a better HRQoL and less anxiety and depression. Out of eight intervention studies that aimed to improve information provision, only one showed a positive association with better HRQoL.
Health care providers must pay more attention to patient-centred information provision. Additional research is needed to make definitive conclusions about information interventions as most results did not reach statistical significance due to methodological constraints. The quick development of the relatively young research field of patient-reported outcomes in cancer survivorship will make it possible to conduct better quality studies in the future.
提供与患者需求相符的信息是决定患者满意度的一个重要因素,也可能影响癌症幸存者的健康相关生活质量(HRQoL)以及焦虑和抑郁水平。
作者系统地回顾了关于信息提供与 HRQoL、焦虑和抑郁之间关系的现有文献。在 2010 年 2 月之前,作者在 PubMed 上进行了原始文章的文献检索。25 篇文章均发表于 1996 年至 2009 年期间,符合预先设定的纳入标准,并接受了质量检查表的检查。
满足的患者、满足信息需求的患者以及一般来说体验到较少信息障碍的患者,通常具有更好的 HRQoL 和较少的焦虑和抑郁。在 8 项旨在改善信息提供的干预研究中,只有一项显示与更好的 HRQoL 有积极关联。
医疗保健提供者必须更加关注以患者为中心的信息提供。由于方法学的限制,大多数结果没有达到统计学意义,因此需要进一步的研究来对信息干预做出明确的结论。相对年轻的癌症幸存者患者报告结局研究领域的快速发展将使未来能够进行更高质量的研究。