Rucci Paola, Foglino Silvia, Bravi Francesca, D'Avenia Rossella, Altini Mattia, Carradori Tiziano, Angelastro Angela, Fantini Maria Pia
Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.
Azienda USL Romagna, Ravenna, Italy.
Eur J Cancer Care (Engl). 2018 Jan;27(1). doi: 10.1111/ecc.12765. Epub 2017 Sep 11.
Increasing efforts are ongoing to deliver effective cancer care through integrated networks of services. Measuring patients' experience of care is essential to identify problematic areas that require organisational adjustments. The aim of the present study was to examine the validity of OPTION questionnaire, designed to measure patient's perceived continuity of care across different phases of their care pathway. The study was carried at the Institute for Cancer Treatment and Research, Meldola and the oncology departments of the Local Health Authority of Romagna, Italy. Principal component analysis (PCA) was performed to identify factors underlying patients' perception of continuity of care. Factor scores were compared between patients with or without a care coordinator using Mann-Whitney test. The study sample consisted of 214 patients with breast or colorectal cancer, with a mean age of 62.3 years. Most patients identified the oncologist as their care coordinator. Five factors were extracted using PCA: (1) "trustful relationship with health care staff," (2) "information on care pathway," (3) "information on changes related to the illness," (4) "feelings of abandonment" and (5) "collaboration among health care professionals." The scores of factors 2 and 3 were significantly higher among those with a care coordinator. The OPTION questionnaire is a reliable instrument that can help clinicians and administrative stakeholder target efforts and resources in the pursuit of quality of care.
通过综合服务网络提供有效的癌症护理的努力正在不断加强。衡量患者的护理体验对于识别需要组织调整的问题领域至关重要。本研究的目的是检验OPTION问卷的有效性，该问卷旨在衡量患者在其护理路径不同阶段对护理连续性的感知。该研究在意大利梅尔多拉的癌症治疗与研究所以及罗马涅地方卫生局的肿瘤科进行。进行主成分分析（PCA）以确定患者护理连续性感知背后的因素。使用曼-惠特尼检验比较有或没有护理协调员的患者之间的因子得分。研究样本包括214例乳腺癌或结直肠癌患者，平均年龄62.3岁。大多数患者将肿瘤学家视为他们的护理协调员。使用PCA提取了五个因素：（1）“与医护人员的信任关系”，（2）“护理路径信息”，（3）“与疾病相关变化的信息”，（4）“被遗弃感”和（5）“医护人员之间的协作”。有护理协调员的患者中因素2和3的得分显著更高。OPTION问卷是一种可靠的工具，可以帮助临床医生和行政利益相关者在追求护理质量的过程中确定工作重点和资源分配方向。
