Roos Carolin, Weller Johannes, Landwehr Christiane, Sciermoch Anja, Duffy Cathrina, Kohlmann Karoline, Schaub Christina, Tzaridis Theophilos, Schneider Matthias, Schuss Patrick, Herrlinger Ulrich, Schäfer Niklas
From Division of Clinical Neurooncology, Department of Neurology, University Hospital of Bonn, Germany.
Department of Neurosurgery, University Hospital of Bonn, Germany.
J Adv Pract Oncol. 2023 May;14(4):292-299. doi: 10.6004/jadpro.2023.14.4.3. Epub 2023 May 1.
Psychoemotional distress affects patients with cancer, including patients with a diagnosis of a malignant brain tumor. Empathy, professional expertise, and conversational skills are required to ensure successful communication with patients. The purpose of this study was to assess whether knowing the communication needs of patients would be helpful to neuro-oncologists before meeting with them. Patients in our neuro-oncology center were asked to complete the National Comprehensive Cancer Network Distress Thermometer (DT) and a study-specific questionnaire on patients' expectations for communication with the treating physician. The questions targeted issues such as attention/caring and awareness of their disease and prognosis. Importance ratings were compared between patients, with high vs. low distress scores to analyze the impact of distress on the patient's needs in physician-patient communication. A total of 81 patients completed the DT and questionnaire. One third ( = 27) had wild-type astrocytoma, and 42 patients (51.9%) were undergoing therapy for primary or recurrent disease. Mean distress was 4.88 (standard deviation ± 2.64) in the whole cohort, and 56.8% of patients had a high distress score (≥ 5 on a 10-point scale). All issues were assessed as important or very important for communication by the majority of patients, and importance ratings increased in patients with high distress levels for most items. Mean importance ratings correlated significantly with distress scores ( < .001). Distress was increased in neuro-oncology patients. Patients with higher distress levels considered issues of both attention/caring and medical information about the disease as more important than patients with lower distress levels. Using distress assessment may help physicians and advanced practitioners to tailor the contents of their discussion for successful communication with patients.
心理情绪困扰会影响癌症患者，包括被诊断为恶性脑肿瘤的患者。与患者进行成功沟通需要同理心、专业知识和沟通技巧。本研究的目的是评估了解患者的沟通需求对神经肿瘤学家在与患者会面之前是否有帮助。我们神经肿瘤中心的患者被要求完成美国国立综合癌症网络苦恼温度计（DT）以及一份关于患者对与主治医生沟通期望的特定研究问卷。这些问题针对诸如关注/关怀以及对其疾病和预后的认知等问题。比较了患者之间的重要性评分，将苦恼得分高的患者与得分低的患者进行对比，以分析苦恼对医患沟通中患者需求的影响。共有81名患者完成了DT和问卷。三分之一（= 27）患有野生型星形细胞瘤，42名患者（51.9%）正在接受原发性或复发性疾病的治疗。整个队列的平均苦恼程度为4.88（标准差±2.64），56.8%的患者苦恼得分较高（10分制量表上≥5分）。大多数患者认为所有问题对于沟通都很重要或非常重要，并且对于大多数项目，苦恼程度高的患者的重要性评分有所增加。平均重要性评分与苦恼得分显著相关（<0.001）。神经肿瘤患者的苦恼程度增加。苦恼程度较高的患者比苦恼程度较低的患者更认为关注/关怀问题以及有关疾病的医疗信息问题很重要。使用苦恼评估可能有助于医生和高级从业者调整讨论内容，以便与患者进行成功沟通。
