Department of Psychology, School of Behavioural Science, University of Melbourne, Melbourne, Australia.
Psychooncology. 2013 Mar;22(3):540-7. doi: 10.1002/pon.3027. Epub 2012 Jan 31.
Few studies have examined the factors that predict information seeking by cancer patients. This study investigated the influence of different styles of adjustment to cancer, information goals and information needs on the information seeking by lung cancer patients.
Lung cancer patients were recruited at their first appointment with their radiation oncologist and completed two questionnaires, one month apart, containing the Patient Information Needs Questionnaire, Mini-Mental Adjustment to Cancer Scale, the number of information sources accessed and a purpose-built measure of cancer-related personal goals.
Fifty-nine participants completed two questionnaires. The average number of information sources accessed by participants increased over the 1-month period, from 7.2 to 9.1 sources (p = 0.026). Information goals at time 1 predicted information seeking at time 2 (p = 0.014). Information needs at time 1 did not predict information seeking at time 2 (Disease Orientated information need p = 0.084, Action Orientated information need p = 0.229). Cognitive Avoidance at time 1 was negatively associated with the number of information sources accessed at time 2 (p = 0.046). This relationship became a non-significant trend (p = 0.066) when baseline information seeking was controlled for. No other adjustment style (at time 1) exhibited a significant relationship with information seeking at time 2.
These findings suggest that information seeking may vary as a function of adjustment to cancer. Consequently, information provision to patients could be more appropriately tailored by attending to how a patient is adjusting to their diagnosis of cancer.
很少有研究探讨预测癌症患者信息寻求的因素。本研究调查了不同的癌症适应方式、信息目标和信息需求对肺癌患者信息寻求的影响。
在与放射肿瘤医生的首次预约时,招募了肺癌患者,并在一个月的时间内完成了两份问卷,其中包含患者信息需求问卷、癌症心理调整小型量表、所访问的信息来源数量以及专门针对癌症相关个人目标的测量。
59 名参与者完成了两份问卷。参与者在一个月内访问的信息来源数量从 7.2 个增加到 9.1 个(p = 0.026)。第 1 次信息目标预测第 2 次信息寻求(p = 0.014)。第 1 次信息需求并不预测第 2 次信息寻求(疾病导向信息需求 p = 0.084,行动导向信息需求 p = 0.229)。第 1 次认知回避与第 2 次访问的信息来源数量呈负相关(p = 0.046)。当控制基线信息寻求时,这种关系成为一个非显著趋势(p = 0.066)。其他调整方式(第 1 次)与第 2 次信息寻求之间没有显示出显著关系。
这些发现表明,信息寻求可能会随着对癌症的适应而变化。因此,通过关注患者如何适应癌症诊断,可以更恰当地调整向患者提供的信息。