Dong Skye, Butow Phyllis N, Costa Daniel S J, Dhillon Haryana M, Shields Cleveland G
Psycho-Oncology Co-operative Research Group (PoCoG), University of Sydney, NSW, Australia.
Psycho-Oncology Co-operative Research Group (PoCoG), University of Sydney, NSW, Australia.
Patient Educ Couns. 2014 Jun;95(3):305-12. doi: 10.1016/j.pec.2014.02.008. Epub 2014 Mar 3.
To adapt an observational tool for assessing patient-centeredness of radiotherapy consultations and to assess whether scores for this tool and an existing tool assessing patient-perceived patient-centeredness predict patient outcomes.
The Measure of Patient-Centered Communication (MPCC), an observational coding system that assesses depth of discussion during a consultation, was adapted to the radiotherapy context. Fifty-six radiotherapy patients (from 10 radiation therapists) had their psycho-education sessions recorded and coded using the MPCC. Patients also completed instruments assessing their perception of patient-centeredness, trust in the radiation therapist, satisfaction with the consultation, authentic self-representation (ASR) and state anxiety.
The MPCC correlated weakly with patient-perceived patient-centeredness. The Feelings subcomponent of the MPCC predicted one aspect of ASR and trust, and interacted with level of therapist experience to predict trust. Patient-perceived patient-centeredness, which exhibited a ceiling effect, predicted satisfaction.
Patient-centered communication is an important predictor of patient outcomes in radiotherapy and obviates some negative aspects of radiation therapists' experience on patient trust. As in other studies, there is a weak association between self-reported and observational coding of PCC.
Radiation therapists have both technical and supportive roles to play in patient care, and may benefit from training in their supportive role.
调整一种用于评估放疗会诊以患者为中心程度的观察工具，并评估该工具的得分以及现有的评估患者感知的以患者为中心程度的工具的得分是否能预测患者的治疗结果。
以患者为中心的沟通测量工具（MPCC），一种评估会诊期间讨论深度的观察性编码系统，被调整用于放疗情境。56名放疗患者（来自10名放射治疗师）的心理教育课程被录制下来，并使用MPCC进行编码。患者还完成了评估他们对以患者为中心程度的感知、对放射治疗师的信任、对会诊的满意度、真实自我呈现（ASR）和状态焦虑的工具。
MPCC与患者感知的以患者为中心程度的相关性较弱。MPCC的情感子成分预测了ASR和信任的一个方面，并与治疗师的经验水平相互作用以预测信任。表现出天花板效应的患者感知的以患者为中心程度预测了满意度。
以患者为中心的沟通是放疗中患者治疗结果的重要预测因素，消除了放射治疗师经验对患者信任的一些负面影响。与其他研究一样，PCC的自我报告和观察性编码之间的关联较弱。
放射治疗师在患者护理中既扮演技术角色又扮演支持角色，可能会从支持性角色的培训中受益。
