Li Linlin, Liu Xueli, Zhou Wanjun, Zhang Yawen, Zhang Xinqiong
School of Nursing, Anhui Medical University, Hefei, China.
Asia Pac J Oncol Nurs. 2024 Jul 1;11(9):100551. doi: 10.1016/j.apjon.2024.100551. eCollection 2024 Sep.
The study aims to investigate the information needs and preferences of colorectal cancer (CRC) patients undergoing chemotherapy using a discrete choice experiment (DCE) to optimize and improve the information support strategy for these patients.
Between May and July 2023, 165 patients with CRC who were receiving chemotherapy at a single hospital in China completed the questionnaire. The survey instruments included a general information questionnaire, a DCE questionnaire, and the Brief Health Literacy Screening Scale. A conditional logit model was used with Stata 16.0 software to analyze patients' preferences.
A total of 159 valid questionnaires were collected, and the questionnaire response rate was 96.4%. All 7 included attributes had an impact on patients' information needs preference ( < 0.05). Among them, information providers, knowledge content, and social support had high relative importance, which were 12.16%, 7.57% and 2.25%, respectively. Patients showed a preference for attending doctors (β = 1.9439, < 0.05) and primary nurses (β = 1.7985, < 0.05). Providing knowledge related to disease basis, treatment, and health promotion also had a significant impact (β = 1.6224, < 0.05).
Healthcare professionals should be the primary information source for patients and improve the accessibility of information by establishing professional information platforms or identifying reliable channels. It is recommended to provide continuous information on treatment and health promotion to CRC patients at various stages of chemotherapy. Attention should be paid to identifying and providing measures to alleviate the economic and psychological burden and to meet the social support needs of patients.
本研究旨在通过离散选择实验(DCE)调查接受化疗的结直肠癌(CRC)患者的信息需求和偏好,以优化和改进针对这些患者的信息支持策略。
2023年5月至7月,在中国一家医院接受化疗的165例CRC患者完成了问卷调查。调查工具包括一般信息问卷、DCE问卷和简易健康素养筛查量表。使用Stata 16.0软件的条件logit模型分析患者的偏好。
共收集到159份有效问卷,问卷回复率为96.4%。纳入的所有7个属性均对患者的信息需求偏好有影响(<0.05)。其中,信息提供者、知识内容和社会支持的相对重要性较高,分别为12.16%、7.57%和2.25%。患者表现出对主治医生(β=1.9439,<0.05)和责任护士(β=1.7985,<0.05)的偏好。提供与疾病基础、治疗和健康促进相关的知识也有显著影响(β=1.6224,<0.05)。
医护人员应成为患者的主要信息来源,并通过建立专业信息平台或确定可靠渠道来提高信息的可及性。建议在化疗的各个阶段为CRC患者提供关于治疗和健康促进的持续信息。应注意识别并提供减轻患者经济和心理负担的措施,以满足患者的社会支持需求。