Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Eupener Straße 129, 50933, Cologne, Germany.
LVR-Institute of Health Care Research, LVR Clinic Cologne, Wilhelm-Griesinger Str. 23, 51109, Cologne, Germany.
Support Care Cancer. 2020 Nov;28(11):5419-5427. doi: 10.1007/s00520-020-05385-1. Epub 2020 Mar 7.
International and national studies have shown unmet information needs regarding nutrition in breast cancer patients. An intervention study has examined the question of the extent to which a fact sheet on the topic of nutrition is suitable to cover the need for information of breast cancer patients.
The fact sheet with basic information on nutrition was distributed in 21 intervention breast care centres in 2017. The use of the fact sheets was evaluated in a quasi-experimental design as part of the annual breast cancer patients' survey of the University of Cologne. The breast cancer patients considered were being treated with primary breast carcinoma in a hospital in North Rhine-Westphalia. A multilevel analysis was carried out in order to quantify the effect of the intervention.
Unmet information needs are experienced more by younger and non-native German-speaking patients. With regard to education, patients without a graduation and a high grade of education express more unmet information needs. The multilevel analysis showed that patients who were treated at an intervention site and therefore possibly received the fact sheet have a significantly higher chance of their information needs being met (OR = 1.45; p ≤ 0.05).
The intervention study showed that a fact sheet with basic information on nutrition is a possible instrument to satisfy the information needs of breast cancer patients and therefore reduce unmet information needs regarding nutrition. This intervention study is a pragmatic example on how to reduce unmet information needs among breast cancer patients in Germany.
国际和国内的研究表明,乳腺癌患者存在未满足的营养信息需求。一项干预研究探讨了营养主题知识单页在多大程度上适合满足乳腺癌患者的信息需求。
在 2017 年,将包含营养基本信息的知识单页分发给 21 家干预性乳腺护理中心。该知识单页的使用情况作为科隆大学年度乳腺癌患者调查的一部分,在准实验设计中进行了评估。考虑的乳腺癌患者正在北莱茵-威斯特法伦州的一家医院接受原发性乳腺癌治疗。为了量化干预效果,进行了多层次分析。
年轻和非德语母语的患者更有可能经历未满足的信息需求。在教育方面,未毕业和受教育程度较高的患者表达了更多的未满足信息需求。多水平分析表明,在干预点接受治疗的患者(因此可能收到了知识单页),其信息需求得到满足的可能性显著更高(OR=1.45;p≤0.05)。
干预研究表明,营养基础知识单页是满足乳腺癌患者信息需求、减少营养相关未满足信息需求的一种可能手段。这项干预研究是如何在德国减少乳腺癌患者未满足信息需求的一个实用范例。