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以患者为中心的沟通对乳腺癌女性的影响:与体像知觉的关系。

Patient-centred communication for women with breast cancer: Relation to body image perception.

机构信息

Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.

Medical Surgical Department, Nursing and Midwifery Faculty, Hematology & Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Clin Nurs. 2020 Dec;29(23-24):4674-4684. doi: 10.1111/jocn.15508. Epub 2020 Oct 6.

Abstract

AIMS AND OBJECTIVES

This study aimed to determine the predictive values of patient-centred communication (PCC) and patient's characteristics on the body image (BI) perception in postmastectomy patients.

BACKGROUND

Patient-centred communication has been touted as a means of addressing BI issues, especially for postmastectomy patients.

DESIGN AND METHODS

This predictive correlational study was conducted on 275 surgically treated breast cancer patients admitted to the Oncology Departments of two hospitals in Tabriz, Iran. These patients were selected using a convenience sampling method. The Body Image after Breast Cancer Questionnaire (BIBCQ) and patient-centred communication questionnaire (PCCQ) were used for collecting the data. Descriptive and inferential statistics were applied to the data. Reporting was in accordance with the STROBE guideline.

RESULTS

A multivariable model significantly predicted BI perception in participants using surgery type and time elapsed following surgery. Participants' limitations were significantly affected by surgery type and participants' perception of the nurses' PCC skills. Arm concern was significantly affected by surgery type and nurses' PCC skills.

CONCLUSION

Patient-centred skills in nurse-patient communication are critical for resolving BI difficulties such as arm concerns and limitations regarding the disease and its treatment.

RELEVANCE TO CLINICAL PRACTICE

Patient-centred communication skills can be taught nurses in the clinical setting to help alleviate patients' BI problems.

摘要

目的和目标

本研究旨在确定以患者为中心的沟通(PCC)和患者特征对乳腺癌根治术后患者体像(BI)感知的预测价值。

背景

以患者为中心的沟通已被吹捧为解决 BI 问题的一种手段,特别是对乳腺癌根治术后患者。

设计和方法

这是一项在伊朗大不里士两家医院肿瘤科接受手术治疗的 275 例乳腺癌患者中进行的预测性相关性研究。这些患者是通过便利抽样法选择的。使用乳腺癌后体像问卷(BIBCQ)和以患者为中心的沟通问卷(PCCQ)收集数据。对数据进行描述性和推断性统计分析。报告符合 STROBE 指南。

结果

一个多变量模型使用手术类型和手术后时间显著预测了参与者的 BI 感知。参与者的局限性显著受手术类型和参与者对护士 PCC 技能的感知影响。手臂问题显著受手术类型和护士 PCC 技能影响。

结论

护士与患者沟通中的以患者为中心的技能对于解决 BI 困难至关重要,如手臂问题以及对疾病及其治疗的局限性。

临床相关性

以患者为中心的沟通技能可以在临床环境中教授护士,以帮助减轻患者的 BI 问题。

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