Kenis Ilyse, Kinnaer Lise-Marie, Van Hecke Ann, Foulon Veerle
Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Patient Educ Couns. 2023 Oct;115:107927. doi: 10.1016/j.pec.2023.107927. Epub 2023 Jul 29.
In this multicenter cross-sectional study, the quality of patient-centered education and counseling for patients treated with oral anticancer drugs was examined.
The CONTACT-Patient-Centered Care Questionnaire was administered to 266 patients, recruited in 11 Flemish hospitals. The questionnaire consists of 80 items, each evaluating the degree of performance of a key element in patient-centered education and counseling.
In total, 15 key elements were seriously underperformed (degree of performance < 50%). Elements regarding adherence monitoring, specific topics in patient education, and involvement of the community pharmacist and home care nurse received a very low score. Only six key elements were systematically performed (degree of performance ≥ 90%), among which the elements on communication style and involvement of the general practitioner.
This study uncovered three major gaps in patient-centered education and counseling of patients on oral anticancer drugs: unmet patient information needs due to shortcomings in patient education, inadequate adherence monitoring, and lacking collaboration with community pharmacists and home care nurses.
This study highlights the need for interdisciplinary and patient-centered education and counseling of patients using OACD, including all key stakeholders: physicians, nurses, hospital pharmacists, general practitioners, community pharmacist and home care nurses.
在这项多中心横断面研究中，对接受口服抗癌药物治疗的患者以患者为中心的教育和咨询质量进行了检查。
对在11家佛兰芒医院招募的266名患者进行了以患者为中心的护理CONTACT问卷。该问卷由80个项目组成，每个项目评估以患者为中心的教育和咨询中一个关键要素的执行程度。
总共有15个关键要素执行严重不足（执行程度<50%）。关于依从性监测、患者教育中的特定主题以及社区药剂师和家庭护理护士参与度的要素得分非常低。只有6个关键要素得到系统执行（执行程度≥90%），其中包括沟通方式和全科医生参与度的要素。
本研究揭示了口服抗癌药物患者以患者为中心的教育和咨询中的三个主要差距：由于患者教育不足导致患者信息需求未得到满足、依从性监测不足以及与社区药剂师和家庭护理护士缺乏合作。
本研究强调了对使用口服抗癌药物的患者进行跨学科和以患者为中心的教育和咨询的必要性，包括所有关键利益相关者：医生、护士、医院药剂师、全科医生、社区药剂师和家庭护理护士。
