Rood Janneke A J, van Zuuren Florence J, Stam Frank, van der Ploeg Tjeerd, Eeltink Corien, Verdonck-de Leeuw Irma M, Huijgens Peter C
Department of Haematology, VU University Medical Center, Amsterdam, The Netherlands.
Department of Internal Medicine, Medical Center Alkmaar, Alkmaar, The Netherlands.
Hematol Oncol. 2015 Jun;33(2):85-98. doi: 10.1002/hon.2138. Epub 2014 May 9.
For patients with haematological malignancies, information on disease, prognosis, treatment and impact on quality of life is of the utmost importance. To gain insight into the perceived need for information in relation to sociodemographic and clinical parameters, comorbidity, quality of life (QoL) and information satisfaction, we compiled a questionnaire based on existing validated questionnaires. A total of 458 patients diagnosed with a haematological malignancy participated. The perceived need for information was moderate to high (40-70%). Multivariate regression analyses showed that a higher need for information was related to younger age, worse QoL, being member of a patient society and moderate comorbidity. The need for disease and treatment-related information was higher than the need for psychosocial information. A higher need for disease and treatment-related information was associated to being diagnosed with multiple myeloma. A higher need for psychosocial information was related to a lower educational level. The information provision could be improved according to 41% of the patients. Higher satisfaction with provided information was associated with better QoL. Most patients (62%) reported that they wanted to be fully informed about their illness and actively involved in treatment decision-making. The results contribute to improving patient-tailored information provision and shared decision-making in clinical practice.
对于血液系统恶性肿瘤患者而言,有关疾病、预后、治疗以及对生活质量影响的信息至关重要。为了深入了解与社会人口统计学和临床参数、合并症、生活质量(QoL)以及信息满意度相关的信息需求,我们在现有经过验证的问卷基础上编制了一份问卷。共有458名被诊断患有血液系统恶性肿瘤的患者参与。对信息的感知需求为中度至高(40 - 70%)。多变量回归分析表明,更高的信息需求与年龄较小、生活质量较差、是患者协会成员以及中度合并症有关。对疾病和治疗相关信息的需求高于对心理社会信息的需求。对疾病和治疗相关信息的更高需求与被诊断为多发性骨髓瘤有关。对心理社会信息的更高需求与较低的教育水平有关。41%的患者认为信息提供可以改进。对所提供信息的更高满意度与更好的生活质量相关。大多数患者(62%)报告说他们希望充分了解自己的病情并积极参与治疗决策。这些结果有助于在临床实践中改善针对患者的信息提供和共同决策。