Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, W4, HMRI Building, Callaghan, NSW, 2308, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia.
Support Care Cancer. 2019 Apr;27(4):1509-1517. doi: 10.1007/s00520-018-4525-2. Epub 2018 Oct 30.
To explore the experiences of haematological cancer outpatients in obtaining information about their cancer and its treatment.
A cross-sectional survey of adult haematological cancer outpatients was conducted. Participants completed two pen-and-paper questionnaires: the first examined demographics and disease characteristics; the second, completed four weeks later, asked about the cancer information received. Participants indicated whether they received the information they needed about medical procedures and self-management, experiences regarding doctor-patient communication, and self-efficacy in seeking information and support. Where possible, items were derived from Australian psychosocial cancer care guidelines.
Two hundred and ninety-three (84%) patients consented to participate, with 170 (58%) completing both questionnaires. Most participants reported receiving information in accordance with guidelines. Areas identified as requiring improvement included difficulty recalling information (28%); information overload (26%); insufficient opportunity to ask questions (23%); and insufficient information about managing anxiety related to medical procedures (20%).
While many haematological cancer patients report receiving adequate information, there is room for improvement. Implementation of evidence-based strategies, such as decision aids or audiotapes of the consultation, may help to improve information experiences.
A patient-centred approach to information provision is essential for ensuring information addresses the needs and preferences of the patient.
探索血液系统癌症门诊患者获取癌症及其治疗信息的体验。
对成年血液系统癌症门诊患者进行横断面调查。参与者完成了两份纸质问卷:第一份问卷调查了人口统计学和疾病特征;第二份问卷在四周后完成,询问了患者所接受的癌症信息。参与者表示他们是否获得了有关医疗程序和自我管理的所需信息、关于医患沟通的体验,以及在寻求信息和支持方面的自我效能感。在可能的情况下,项目来源于澳大利亚心理社会癌症护理指南。
293 名(84%)患者同意参与,其中 170 名(58%)完成了两份问卷。大多数参与者报告说他们接受了符合指南的信息。需要改进的领域包括:难以回忆信息(28%)、信息过载(26%)、提问机会不足(23%),以及缺乏有关管理与医疗程序相关焦虑的信息(20%)。
虽然许多血液系统癌症患者报告说他们获得了足够的信息,但仍有改进的空间。实施基于证据的策略,如决策辅助工具或咨询的录音带,可能有助于改善信息体验。
以患者为中心的信息提供方法对于确保信息满足患者的需求和偏好至关重要。