Lamers Romy E D, Cuypers Maarten, Husson Olga, de Vries Marieke, Kil Paul J M, Ruud Bosch J L H, van de Poll-Franse Lonneke V
Department of Urology, St. Elisabeth Hospital, Tilburg, The Netherlands.
Department of Social Psychology, Tilburg University, Tilburg, The Netherlands.
Psychooncology. 2016 Jun;25(6):633-40. doi: 10.1002/pon.3981. Epub 2015 Sep 25.
To determine the satisfaction with information received by prostate cancer survivors and associations with health-related quality of life (HRQoL) and illness perception.
A cross-sectional study was performed among 999 patients diagnosed between 2006 and 2009. All patients received a questionnaire on HRQoL (EORTC QLQ-C30), illness perception (B-IPQ) and satisfaction with information provision (EORTC QLQ-INFO-25). Multivariate regression analyses were performed to assess the association between satisfaction with information provision and HRQoL as well as illness perception.
Response rate was 70% (N = 697), 34% (N = 222) indicated to be dissatisfied with the information received. Multivariate linear regression analyses showed a significant positive association between satisfaction with information provision and global health (P = <0.001), emotional functioning (P = 0.004), social functioning (P = 0.027), physical functioning (P = 0.002) and role functioning (P = 0.001). Satisfaction was negatively associated with illness perception subscales on consequences (P = 0.020), timeline (P = 0.031), personal control (P = 0.013), treatment control (P < 0.001), illness concern (P < 0.001), coherence (P = 0.001) and emotional representation (P = 0.004). Hence, more satisfied patients reported fewer consequences of disease, illness concern and emotional representation, but higher personal and treatment control and coherence.
A third of all prostate cancer survivors reported to be dissatisfied with the information received and scored worse on HRQoL and illness perception. A prospective randomized study is needed to study the effect of an intervention that improves information provision on HRQoL and illness perception outcomes. Copyright © 2015 John Wiley & Sons, Ltd.
确定前列腺癌幸存者对所获信息的满意度及其与健康相关生活质量(HRQoL)和疾病认知的关联。
对999例在2006年至2009年间确诊的患者进行了一项横断面研究。所有患者均收到一份关于HRQoL(欧洲癌症研究与治疗组织核心生活质量问卷C30)、疾病认知(Brief Illness Perception Questionnaire,B-IPQ)以及对信息提供满意度(欧洲癌症研究与治疗组织信息提供满意度问卷QLQ-INFO-25)的调查问卷。进行多变量回归分析以评估信息提供满意度与HRQoL以及疾病认知之间的关联。
应答率为70%(N = 697),34%(N = 222)的患者表示对所获信息不满意。多变量线性回归分析显示,信息提供满意度与总体健康(P = <0.001)、情感功能(P = 0.004)、社会功能(P = 0.027)、身体功能(P = 0.002)和角色功能(P = 0.001)之间存在显著正相关。满意度与疾病认知分量表中的后果(P = 0.020)、时间线(P = 0.031)、个人控制(P = 0.013)、治疗控制(P < 0.001)、疾病担忧(P < 0.001)、连贯性(P = 0.001)和情感表征(P = 0.004)呈负相关。因此,满意度较高的患者报告的疾病后果、疾病担忧和情感表征较少,但个人和治疗控制以及连贯性较高。
三分之一的前列腺癌幸存者报告对所获信息不满意,且在HRQoL和疾病认知方面得分较低。需要进行一项前瞻性随机研究,以研究改善信息提供的干预措施对HRQoL和疾病认知结果的影响。版权所有© 2015 John Wiley & Sons, Ltd.