School of Nursing, University of Michigan, Ann Arbor, USA.
McWilliams School of Biomedical Informatics, UTHealth Houston, Houston, USA.
Support Care Cancer. 2024 May 15;32(6):352. doi: 10.1007/s00520-024-08565-5.
Oncology patients often struggle to manage their medications and related adverse events during transitions of care. They are expected to take an active role in self-monitoring and timely reporting of their medication safety events or concerns to clinicians. The purpose of this study was to explore the factors influencing oncology patients' willingness to report adverse events or concerns related to their medication after their transitions back home.
A qualitative interview study was conducted with adult patients with breast, prostate, lung, or colorectal cancer who experienced care transitions within the previous year. A semi-structured interview guide was developed to understand patients' perceptions of reporting mediation-related safety events or concerns from home. All interviews were conducted via phone calls, recorded, and transcribed for thematic data analysis.
A total of 41 individuals participated in the interviews. Three main themes and six subthemes emerged, including patients' perceived relationship with clinicians (the quality of communication and trust in clinicians), perceived severity of adverse medication events (perceived severe vs. non-severe events), and patient activation in self-management (self-efficacy in self-management and engagement in monitoring health outcomes).
The patient-clinician relationship significantly affects patients' reporting behaviors, which can potentially interact with other factors, including the severity of adverse events. It is important to engage oncology patients in medication safety self-reporting from home by enhancing health communication, understanding patients' perceptions of severe events, and promoting patient activation. By addressing these efforts, healthcare providers should adopt a more patient-centered approach to enhance the overall quality and safety of oncological care.
肿瘤患者在治疗过程中经常难以管理其药物和相关不良事件。他们需要积极参与自我监测，并及时向临床医生报告其药物安全事件或关注的问题。本研究的目的是探讨影响肿瘤患者在返回家中后报告与药物相关的不良事件或关注的因素。
对过去一年内在接受治疗过程中经历过治疗转换的乳腺癌、前列腺癌、肺癌或结直肠癌成年患者进行了定性访谈研究。制定了一份半结构化访谈指南，以了解患者对从家中报告药物相关安全事件或关注的看法。所有访谈均通过电话进行，录音并转录进行主题数据分析。
共有 41 人参加了访谈。出现了三个主要主题和六个子主题，包括患者对与临床医生关系的看法（沟通质量和对临床医生的信任）、对不良药物事件严重程度的看法（感知严重程度与非严重程度事件）和患者在自我管理中的积极性（自我管理的自我效能和参与监测健康结果）。
患者与临床医生的关系显著影响患者的报告行为，这可能与其他因素相互作用，包括不良事件的严重程度。通过增强健康沟通、了解患者对严重事件的看法以及促进患者积极性，让肿瘤患者在家中参与药物安全自我报告非常重要。通过这些努力，医疗保健提供者应采取以患者为中心的方法，以提高肿瘤护理的整体质量和安全性。
