Massoud Marcel, Ikdais Werner, Zeghondy Jean, Saad Aline
Holy Spirit University of Kaslik, Jounieh, Lebanon.
Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon.
J Cancer Educ. 2021 Aug;36(4):702-709. doi: 10.1007/s13187-020-01691-8.
Adopting a healthy lifestyle during cancer treatment enhances patients' outcomes. The purpose of this study is to evaluate the current practices and attitudes adopted by hematologists/oncologists on providing lifestyle recommendations to cancer patients. The secondary objective includes a correlation between the hematologists/oncologists' sociodemographic with their provision of lifestyle recommendations to their patients. This prospective, cross-sectional study surveyed Lebanese hematologists/oncologists in five major Lebanese governorates. The questionnaire collected information on participants' demographics and personal lifestyle choices as well as practices and perceptions related to lifestyle recommendations provided to cancer patients. A total of 40 hematologists/oncologists practicing in Lebanon completed the questionnaire with a response rate of 33.3%. The top three recommendations that hematologists/oncologists provided to their patients include quit smoking (95%), increase your physical activity (92.5%), and improve your nutrition/diet (85%). The mean number of recommendations provided per hematologist/oncologist was 3.88 (± 1.067). These discussions were consistently provided during clinical encounters with patients. The most frequently reported barriers hindering patient education on lifestyle recommendations included practitioners' lack of time and knowledge and patients' advanced stages of cancer and lack of interest in the topic. Hematologists/oncologists perceived these recommendations to be beneficial to patients' mental health and performance status, while few of them identified other benefits. Only one statistically significant correlation was identified between hematologists/oncologists' sociodemographic and providing the lifestyle recommendations to their patients. To achieve higher quality patient-centered care, communication gaps between hematologists/oncologists and cancer patients should be addressed, and solutions to identified barriers should be implemented.
在癌症治疗期间采用健康的生活方式可改善患者的治疗效果。本研究的目的是评估血液科医生/肿瘤内科医生在向癌症患者提供生活方式建议方面的当前做法和态度。次要目标包括血液科医生/肿瘤内科医生的社会人口统计学特征与其向患者提供生活方式建议之间的相关性。这项前瞻性横断面研究对黎巴嫩五个主要省份的血液科医生/肿瘤内科医生进行了调查。问卷收集了参与者的人口统计学信息、个人生活方式选择以及与向癌症患者提供生活方式建议相关的做法和看法。共有40名在黎巴嫩执业的血液科医生/肿瘤内科医生完成了问卷，回复率为33.3%。血液科医生/肿瘤内科医生向患者提供的前三项建议包括戒烟（95%）、增加体育活动（92.5%）和改善营养/饮食（85%）。每位血液科医生/肿瘤内科医生提供的建议平均数量为3.88（±1.067）。这些讨论在与患者的临床会诊中持续进行。最常报告的阻碍患者接受生活方式建议教育的障碍包括从业者缺乏时间和知识，以及患者癌症晚期和对该主题缺乏兴趣。血液科医生/肿瘤内科医生认为这些建议对患者的心理健康和身体状况有益，而他们中很少有人指出其他益处。在血液科医生/肿瘤内科医生的社会人口统计学特征与向患者提供生活方式建议之间仅发现了一个具有统计学意义的相关性。为了实现更高质量的以患者为中心的护理，应解决血液科医生/肿瘤内科医生与癌症患者之间的沟通差距，并实施针对已识别障碍的解决方案。
