Chou Pi-Ling, Lin Chia-Clin
Department of Nursing, Chung Hwa University of Medical Technology.
Hu Li Za Zhi. 2012 Feb;59(1):11-5.
Appropriate management of cancer symptoms positively influences quality of life. Inappropriate symptom management, disease recurrence, co-morbidity and death result from lack of medication adherence. Factors influencing adherence are multidimensional and include personal attributes, knowledge and beliefs regarding the disease and medication, self-efficacy and social support. The patient-physician relationship is a significant factor of influence in patient medication adherence and ultimate positive outcomes. If patients are satisfied with the relationship, they are highly likely to comply with health provider advice. Improving patient-physician relationships can effectively promote patient medication adherence. In cancer pain management and adjuvant hormone therapy for breast cancer, regular follow-up examinations have a positive impact. The physician-patient relationship with regard to cancer patient satisfaction is a relatively new topic of discussion, and many implications are scarcely understood. However, the physician-patient relationship should not be ignored as a factor in cancer symptoms management, especially with regard to promoting compliance behavior.
癌症症状的恰当管理对生活质量有积极影响。不恰当的症状管理、疾病复发、合并症和死亡是由缺乏药物依从性导致的。影响依从性的因素是多方面的，包括个人特质、对疾病和药物的知识及信念、自我效能感和社会支持。医患关系是影响患者药物依从性及最终积极结果的一个重要因素。如果患者对这种关系满意，他们很可能会遵循医疗服务提供者的建议。改善医患关系可有效促进患者的药物依从性。在癌症疼痛管理和乳腺癌辅助激素治疗中，定期随访检查有积极作用。医患关系对癌症患者满意度而言是一个相对较新的讨论话题，许多影响几乎不为人所理解。然而，医患关系作为癌症症状管理中的一个因素不应被忽视，尤其是在促进依从行为方面。
