Department of Medical Psychology, Academic Medical Center, Amsterdam, The Netherlands.
Support Care Cancer. 2012 Sep;20(9):2167-76. doi: 10.1007/s00520-011-1328-0. Epub 2011 Nov 13.
We aimed to investigate if cancer patients' information needs decrease during radiotherapy and if so, which patient, consultation and radiation oncologist characteristics are associated with a decrease in information needs over time.
In this longitudinal study, patients (n = 104) completed a baseline questionnaire a week before the initial radiotherapy consultation, immediately following this initial consultation, and 1 week prior to the first follow-up visit, which took place on average 3-5 weeks after the initial visit. Besides information needs, measured by the Information Preference for Radiotherapy Patients scale, the questionnaire assessed patient, consultation and radiation oncologist characteristics.
Information needs decreased over time, but remained at a high level. Being religious, being male, having low health literacy and higher perceived involvement during the consultation were all statistically significantly associated to a decrease in information needs on specific domains (e.g. procedures or side effects).
Cancer patients' information needs decline between the initial consultation and the first follow-up visit, but remain high. It is therefore advised to investigate the patients' information needs at every radiotherapy visit and not rely on giving information just once. Furthermore, radiation oncologists should check if the information given at first consultation is understood and remembered. By those means, tailored information giving becomes possible.
我们旨在探讨癌症患者在接受放射治疗过程中的信息需求是否会减少,如果是,哪些患者、咨询和放射肿瘤学家的特征与信息需求随时间的减少有关。
在这项纵向研究中,患者(n=104)在初始放射治疗咨询前一周完成了基线问卷,在初始咨询后立即完成,在第一次随访前一周完成,平均在初始咨询后 3-5 周进行。除了信息需求(通过放疗患者信息偏好量表测量)外,问卷还评估了患者、咨询和放射肿瘤学家的特征。
信息需求随时间减少,但仍处于较高水平。宗教信仰、男性、健康素养低以及在咨询中感知到的参与度较高,与特定领域(如程序或副作用)的信息需求减少均具有统计学显著相关性。
癌症患者在初始咨询和第一次随访之间的信息需求下降,但仍保持较高水平。因此,建议在每次放射治疗就诊时调查患者的信息需求,而不仅仅依赖于一次提供信息。此外,放射肿瘤学家应检查初次咨询时提供的信息是否被理解和记住。通过这些方法,可以实现个性化的信息提供。