Donegan Diane, Gowan Tayler, Gruber Rachel, Cottingham Ann, Flanagan Mindy, Erickson Dana, Imperiale Thomas F
Division of Endocrinology Diabetes and Metabolism, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Mayo Clinic, Division of Endocrinology, Diabetes and Metabolism, Rochester, MN 55905, USA.
J Endocr Soc. 2021 Apr 7;5(6):bvab061. doi: 10.1210/jendso/bvab061. eCollection 2021 Jun 1.
Brain tumors, including pituitary adenomas (PA), cause anxiety and distress, with a high unmet need for information correlating with increased anxiety. Condition-specific education may alleviate anxiety. We explored patients' experience around the diagnosis of a PA and piloted a patient education intervention to address peridiagnostic anxiety in adults diagnosed with PA.
Anxiety, patient satisfaction, patient knowledge, and need for information were measured prior to, immediately after, and 1 month following the appointment in this multimethods study. A phone interview to explore patient diagnostic and intervention experiences was analyzed using qualitative methods.
A total of 17 patients participated in the study; 15 completed the interview. The baseline need for information was high. Disease-specific anxiety decreased, and patient knowledge and satisfaction increased significantly after the initial visit. Interview analysis identified 3 main themes: (1) the importance of communication; (2) the need for information; and (3) the impact of the diagnosis on patient experience.
For patients with newly diagnosed PA, the diagnostic experience was associated with high levels of anxiety. Patients expressed a need for information. Information delivery reduced anxiety and had a positive impact on patient satisfaction.
The study findings suggest a need for a streamlined diagnostic process with readily accessible information.
脑肿瘤,包括垂体腺瘤(PA),会引发焦虑和痛苦,对与焦虑增加相关信息的需求未得到满足的情况很普遍。针对特定病症的教育可能会减轻焦虑。我们探究了垂体腺瘤患者在诊断前后的经历,并试行一项患者教育干预措施,以解决被诊断为垂体腺瘤的成年人在诊断期间的焦虑问题。
在这项多方法研究中,在预约前、预约后即刻以及预约后1个月测量焦虑、患者满意度、患者知识水平和信息需求。使用定性方法分析了一项用于探究患者诊断和干预经历的电话访谈。
共有17名患者参与了该研究;15名完成了访谈。基线时对信息的需求很高。初次就诊后,特定疾病的焦虑有所减轻,患者知识水平和满意度显著提高。访谈分析确定了3个主要主题:(1)沟通的重要性;(2)对信息的需求;(3)诊断对患者体验的影响。
对于新诊断为垂体腺瘤的患者,诊断经历与高水平焦虑相关。患者表示需要信息。提供信息减轻了焦虑,并对患者满意度产生了积极影响。
研究结果表明需要一个简化的诊断流程,并提供易于获取的信息。