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垂体瘤新诊断患者中以患者为中心的教育需求

The Need for Patient-centered Education Among Patients Newly Diagnosed With a Pituitary Tumor.

作者信息

Donegan Diane, Gowan Tayler, Gruber Rachel, Cottingham Ann, Flanagan Mindy, Erickson Dana, Imperiale Thomas F

机构信息

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.

出版信息

J Endocr Soc. 2021 Apr 7;5(6):bvab061. doi: 10.1210/jendso/bvab061. eCollection 2021 Jun 1.

Abstract

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

PRACTICE IMPLICATIONS

The study findings suggest a need for a streamlined diagnostic process with readily accessible information.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

实践意义

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。

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