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男性乳腺癌患者和医疗专业人员的未满足信息需求。

Unmet information needs of men with breast cancer and health professionals.

机构信息

Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.

Division of Surgical Oncology, UMC Utrecht Cancer Center, Utrecht, The Netherlands.

出版信息

Psychooncology. 2020 May;29(5):851-860. doi: 10.1002/pon.5356. Epub 2020 Feb 24.

Abstract

OBJECTIVE

Male breast cancer (MBC) is rare. Information about breast cancer is usually designed for female patients. However, in males this disease and some side effects differ from its female counterpart. Therefore, there is a need for male-specific information. The aim was to assess unmet information needs of (a) MBC patients and (b) health professionals.

METHODS

Dutch MBC patients (diagnosed between 2011 and 2016 in 21 hospitals), patient advocates and partners were invited to participate in focus groups and/or complete a paper-based questionnaire on information needs. In addition, an online questionnaire on information needs was sent to health professionals involved in MBC patient care.

RESULTS

In three focus groups with MBC patients (N = 12) and partners (N = 2) the following unmet information themes were identified: patients' experiences/photographs, symptoms, (delay of) diagnosis, treatments, side effects, follow-up, psychological impact/coping, genetics and family, research and raising awareness. 77 of 107 MBC patients (72%) completed the questionnaire: most patients lacked information about acute (65%) or late (56%) side effects, particularly sexual side effects. Among health professionals, 110 of 139 (79%) had searched for MBC-related information, specifically: patient information, anti-hormonal therapy, genetic testing, research, and psychosocial issues.

CONCLUSIONS

Unmet information needs in MBC patients and health professionals were identified. Specific information on MBC should be developed to improve timely diagnosis, quality of life, treatment, and survival. A targeted website is an ideal tool to meet these needs. Therefore, we integrated these results into a user-centered design to develop an informative website, www.mannenmetborstkanker.nl.

摘要

目的

男性乳腺癌(MBC)较为罕见。有关乳腺癌的信息通常是为女性患者设计的。然而,在男性中,这种疾病及其一些副作用与女性患者不同。因此,男性需要特定的信息。本研究旨在评估(a)MBC 患者和(b)医疗保健专业人员的未满足的信息需求。

方法

邀请荷兰 MBC 患者(2011 年至 2016 年间在 21 家医院确诊)、患者权益维护者和伴侣参加焦点小组和/或填写有关信息需求的纸质问卷。此外,还向参与 MBC 患者护理的医疗保健专业人员发送了在线信息需求问卷。

结果

在三个 MBC 患者(N=12)和伴侣(N=2)焦点小组中,确定了以下未满足的信息主题:患者的经历/照片、症状、(诊断的)延迟、治疗、副作用、随访、心理影响/应对、遗传学和家族、研究和提高认识。107 名 MBC 患者中有 77 名(72%)完成了问卷:大多数患者缺乏关于急性(65%)或迟发性(56%)副作用的信息,特别是性副作用。在医疗保健专业人员中,有 110 名(79%)人搜索过 MBC 相关信息,具体包括:患者信息、抗激素治疗、基因检测、研究和心理社会问题。

结论

确定了 MBC 患者和医疗保健专业人员的未满足信息需求。应开发特定的 MBC 信息,以改善及时诊断、生活质量、治疗和生存。有针对性的网站是满足这些需求的理想工具。因此,我们将这些结果整合到用户为中心的设计中,以开发一个信息丰富的网站,www.mannenmetborstkanker.nl。

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