Oncology-Radiotherapy Department, Besançon University Hospital, 3 boulevard Fleming, 25030 Besançon, Cedex, France.
BMC Cancer. 2011 Dec 28;11:526. doi: 10.1186/1471-2407-11-526.
The aim of this study was to identify factors associated with satisfaction with care in cancer patients undergoing ambulatory treatment. We investigated associations between patients' baseline clinical and socio-demographic characteristics, as well as self-reported quality of life, and satisfaction with care.
Patients undergoing ambulatory chemotherapy or radiotherapy in 2 centres in France were invited, at the beginning of their treatment, to complete the OUT-PATSAT35, a 35 item and 13 scale questionnaire evaluating perception of doctors, nurses and aspects of care organisation. Additionally, for each patient, socio-demographic variables, clinical characteristics and self-reported quality of life using the EORTC QLQ-C30 questionnaire were recorded.
Among 692 patients included between January 2005 and December 2006, only 6 were non-responders. By multivariate analysis, poor perceived global health strongly predicted dissatisfaction with care (p < 0.0001). Patients treated by radiotherapy (vs patients treated by chemotherapy) reported lower levels of satisfaction with doctors' technical and interpersonal skills, information provided by caregivers, and waiting times. Patients with primary head and neck cancer (vs other localisations), and those living alone were less satisfied with information provided by doctors, and younger patients (< 55 years) were less satisfied with doctors' availability.
A number of clinical of socio-demographic factors were significantly associated with different scales of the satisfaction questionnaire. However, the main determinant was the patient's global health status, underlining the importance of measuring and adjusting for self-perceived health status when evaluating satisfaction. Further analyses are currently ongoing to determine the responsiveness of the OUT-PATSAT35 questionnaire to changes over time.
本研究旨在确定与接受门诊治疗的癌症患者的护理满意度相关的因素。我们调查了患者基线临床和社会人口统计学特征以及自我报告的生活质量与护理满意度之间的关系。
法国 2 个中心接受门诊化疗或放疗的患者在治疗开始时被邀请填写 OUT-PATSAT35 问卷，这是一个包含 35 个项目和 13 个量表的问卷，用于评估对医生、护士的看法以及护理组织的各个方面。此外，为每位患者记录了社会人口统计学变量、临床特征以及使用 EORTC QLQ-C30 问卷报告的自我报告生活质量。
在 2005 年 1 月至 2006 年 12 月期间纳入的 692 例患者中，仅有 6 例为无应答者。通过多变量分析，较差的总体健康感知强烈预测对护理的不满（p < 0.0001）。接受放疗的患者（与接受化疗的患者相比）报告对医生的技术和人际交往能力、护理人员提供的信息以及等待时间的满意度较低。原发头颈部癌症患者（与其他部位相比）和独居患者对医生提供的信息的满意度较低，年龄较小的患者（<55 岁）对医生的可用性的满意度较低。
许多临床和社会人口统计学因素与满意度问卷的不同量表显著相关。然而，主要决定因素是患者的总体健康状况，这强调了在评估满意度时测量和调整自我感知健康状况的重要性。目前正在进行进一步分析，以确定 OUT-PATSAT35 问卷对随时间变化的反应能力。
