Suppr超能文献

癌症幸存者的疾病认知:信息提供的作用是什么?

Illness perceptions in cancer survivors: what is the role of information provision?

机构信息

Center of Research on Psychology in Somatic diseases, Department of Medical Psychology and Neuropsychology, Tilburg University, Tilburg, The Netherlands.

出版信息

Psychooncology. 2013 Mar;22(3):490-8. doi: 10.1002/pon.3042. Epub 2012 Feb 6.

Abstract

BACKGROUND

The aim of this study was to provide insight into the relationship between information provision and illness perceptions among cancer survivors.

METHODS

All individuals diagnosed with lymphoma, multiple myeloma, endometrial or colorectal cancer between 1998 and 2008, as registered in the Eindhoven Cancer Registry, were eligible for participation. In total, 4446 survivors received a questionnaire including the EORTC-QLQ-INFO25 and the Brief Illness Perception Questionnaire; 69% responded (n = 3080).

RESULTS

Lymphoma and multiple myeloma patients were most satisfied with the information they received, and they perceived to having received more information about their treatment and other services (after care) compared with colorectal and endometrial cancer survivors (p < 0.05). Multiple myeloma patients reported the highest scores (conceptualized their illness as very serious) on the illness perception scales. The perceived receipt of more disease-specific information was associated with more personal and treatment control and a better understanding of the illness, whereas the perceived receipt of more information about other services was associated with more negative consequences of the illness on the patients' life, longer perceived duration of illness, less treatment control, more symptoms attributable to the illness, less understanding of, and stronger emotional reaction to the illness (p < 0.05). Satisfaction with the received information was associated with better illness perception on all subscales, except for personal control (p < 0.05).

CONCLUSION

Improving the patients' illness perceptions by tailoring the information provision to the needs of patients may help patients to get a more coherent understanding of their illness and will possibly lead to a better health-related quality of life.

摘要

背景

本研究旨在深入了解癌症幸存者的信息提供与疾病认知之间的关系。

方法

所有在 1998 年至 2008 年间被诊断为淋巴瘤、多发性骨髓瘤、子宫内膜癌或结直肠癌的个体,均符合参与本研究的条件。共有 4446 名幸存者收到了一份包含 EORTC-QLQ-INFO25 和简要疾病认知问卷的调查问卷,其中 69%的人做出了回应(n=3080)。

结果

淋巴瘤和多发性骨髓瘤患者对他们所收到的信息最满意,与结直肠癌和子宫内膜癌幸存者相比,他们认为自己收到了更多关于治疗和其他服务(后续护理)的信息(p<0.05)。多发性骨髓瘤患者在疾病认知量表上的评分最高(将其疾病概念化为非常严重)。感知到收到更多的疾病特定信息与更多的个人和治疗控制以及对疾病的更好理解相关,而感知到收到更多关于其他服务的信息则与疾病对患者生活的更多负面影响、更长的感知疾病持续时间、更少的治疗控制、更多归因于疾病的症状、对疾病的理解更少以及对疾病的情绪反应更强相关(p<0.05)。对所收到信息的满意度与所有子量表上的更好的疾病认知相关,除了个人控制(p<0.05)。

结论

通过根据患者的需求调整信息提供来改善患者的疾病认知,可能有助于患者更全面地理解自己的疾病,并可能提高其健康相关的生活质量。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验