Nehls W, Gabrijel S, Kiss A, Kollmeier J, Schmalz O, Albrecht H, Behr J, Bauer T T
Klinik für Pneumologie, Lungenklinik Heckeshorn, HELIOS Klinikum Emil von Behring, Berlin, Germany.
Pneumologie. 2013 Dec;67(12):688-93. doi: 10.1055/s-0033-1358999. Epub 2013 Dec 9.
Lung cancer patients require information about their diagnosis, treatment procedure and the treatment goal. We have examined recall of patients and how satisfied they were with physician communication.
101 patients with newly diagnosed lung cancer were interviewed shortly after the disclosure of diagnosis about their diagnosis, treatment procedure and treatment goal. Disclosing physicians were asked what information they had given. Physician information and patient recall was then compared.
Eighty-six percent (86 of 100 patients) knew their diagnosis, 81% recalled the treatment procedure correctly, and 42% knew if the treatment goal was curative or palliative. We found high satisfaction about communication of diagnosis and treatment procedure (83% resp.77%). However, satisfaction with communication of the treatment goal was 53% (51 of 97 patients) and significantly lower than satisfaction with communication of diagnosis and of treatment procedure. Patients who were informed by male physicians were significantly more satisfied with the disclosure about the treatment goal.
Treatment goals are difficult to convey by untrained physicians. Further research is needed to understand how we can improve patients' understanding of and satisfaction with information about the treatment goal and prognosis and how physicians can improve their communication skills.
肺癌患者需要了解他们的诊断、治疗程序和治疗目标。我们研究了患者的记忆情况以及他们对医生沟通的满意度。
101例新诊断的肺癌患者在诊断披露后不久接受了关于其诊断、治疗程序和治疗目标的访谈。询问了披露诊断的医生他们提供了哪些信息。然后比较医生提供的信息和患者的记忆情况。
86%（100例患者中的86例）知道自己的诊断，81%正确回忆起治疗程序，42%知道治疗目标是治愈性还是姑息性。我们发现患者对诊断和治疗程序沟通的满意度较高（分别为83%和77%）。然而，对治疗目标沟通的满意度为53%（97例患者中的51例），明显低于对诊断和治疗程序沟通的满意度。由男医生告知的患者对治疗目标披露的满意度明显更高。
未经培训的医生难以传达治疗目标。需要进一步研究以了解如何提高患者对治疗目标和预后信息的理解及满意度，以及医生如何提高他们的沟通技巧。
