Stoewen Debbie L, Coe Jason B, MacMartin Clare, Stone Elizabeth A, Dewey Catherine E
Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
J Am Vet Med Assoc. 2014 Oct 1;245(7):773-83. doi: 10.2460/javma.245.7.773.
To evaluate the content aspects of the information expectations of clients accessing oncology care services at a tertiary referral center for dogs with life-limiting cancer.
Qualitative analysis of data acquired during in-person single and dyadic interviews. Sample-43 dog owners participating in 30 interviews.
Independent in-person interviews were conducted with standardized open- and closed-ended questions from April to October 2009. Thematic analysis was performed on transcripts of the interview discussions.
For the clients, the central qualification was that the information given had to be the truth. Information was expected about all aspects of their dog's cancer and its treatment, varying in relation to clients' basic understanding of cancer, their previous experience with cancer, and their information preferences. Provision of information generated the trust and confidence necessary to engage in treatment, the ability to make informed decisions, and the ability to be prepared for the future. Provision of information also engendered a sense of control and capability and fostered hope.
When dealing with owners of dogs with life-limiting cancer, results indicated that in addition to abiding by the principle of truth-telling, it is important for health-care service providers to ascertain clients' understanding of and experiences with cancer as well as their information preferences and thereby adopt a tailored approach to information giving. Provision of information enabled client action and patient intervention but also enhanced clients' psychosocial well-being. Veterinary healthcare service providers can purposely provide information to build and sustain clients' ability to successfully cope with their pet's condition.
评估在一家为患有危及生命癌症的犬只提供服务的三级转诊中心，接受肿瘤护理服务的客户对信息期望的内容方面。
对在面对面的单人及双人访谈中获取的数据进行定性分析。样本为43位犬主，参与了30次访谈。
2009年4月至10月，采用标准化的开放式和封闭式问题进行独立的面对面访谈。对访谈讨论的文字记录进行主题分析。
对客户而言，核心要求是所提供的信息必须真实。期望获得关于其犬只癌症及其治疗各方面的信息，这些信息因客户对癌症的基本了解、他们之前的癌症经历以及他们的信息偏好而有所不同。提供信息产生了参与治疗所需的信任和信心、做出明智决策的能力以及为未来做好准备的能力。提供信息还产生了一种掌控感和能力感，并激发了希望。
在与患有危及生命癌症的犬只的主人打交道时，结果表明，除了遵守讲真话的原则外，医疗服务提供者确定客户对癌症的理解和经历以及他们的信息偏好，从而采用量身定制的信息提供方式也很重要。提供信息使客户能够采取行动并对患者进行干预，同时还增强了客户的心理社会幸福感。兽医医疗服务提供者可以有目的地提供信息，以建立并维持客户成功应对其宠物病情的能力。
