Azarabadi Afsaneh, Bagheriyeh Farzaneh, Moradi Yaser, Orujlu Samira
Master of Psychiatric Nursing, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
BMC Nurs. 2024 Sep 27;23(1):682. doi: 10.1186/s12912-024-02339-4.
Effective communication between nurses and cancer patients is essential for patient satisfaction and optimal health outcomes in outpatient oncology settings. This study explored the communication experiences of Iranian cancer patients receiving outpatient treatment.
Semi-structured interviews were conducted with 14 adult cancer patients undergoing chemotherapy, radiotherapy, or follow-up treatment at an outpatient clinic in Urmia, Iran. Qualitative content analysis was used to analyze the data. This study adhered to the standards set forth in the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.
Three main categories emerged from the interviews with Iranian cancer patients: communication dynamics, barriers to communication, and effective communication outcomes. Patients expressed a desire for nurses who actively listen, provide emotional support, and offer thorough education about their disease and treatment options. However, they also identified barriers to effective communication, including negative nurse behaviors (such as lack of empathy), heavy workloads, gender and language discordance, and logistical challenges within the clinic setting. When communication was positive, patients reported increased commitment to their treatment plans, improved coping mechanisms, reduced stress levels, and greater satisfaction with their overall care.
This study revealed the multifaceted nature of communication in outpatient oncology settings from the patient's perspective. Findings underscore the need for interventions that enhance nurse communication skills, address workload issues, promote cultural sensitivity, and optimize clinic logistics. These efforts can significantly improve patient experiences and treatment outcomes during cancer treatment.
在门诊肿瘤治疗环境中，护士与癌症患者之间的有效沟通对于患者满意度和最佳健康结果至关重要。本研究探讨了接受门诊治疗的伊朗癌症患者的沟通经历。
对伊朗乌尔米耶一家门诊诊所的14名正在接受化疗、放疗或后续治疗的成年癌症患者进行了半结构化访谈。采用定性内容分析法对数据进行分析。本研究遵循了《定性研究报告综合标准》（COREQ）清单中规定的标准。
对伊朗癌症患者的访谈产生了三个主要类别：沟通动态、沟通障碍和有效沟通结果。患者表示希望护士能积极倾听、提供情感支持，并就其疾病和治疗选择提供全面的教育。然而，他们也指出了有效沟通的障碍，包括护士的负面行为（如缺乏同理心）、工作量大、性别和语言差异以及诊所环境中的后勤挑战。当沟通积极时，患者报告对治疗计划的依从性增加、应对机制改善、压力水平降低以及对整体护理的满意度提高。
本研究从患者的角度揭示了门诊肿瘤治疗环境中沟通的多面性。研究结果强调了采取干预措施的必要性，这些措施包括提高护士的沟通技巧、解决工作量问题、促进文化敏感性以及优化诊所后勤。这些努力可以显著改善癌症治疗期间的患者体验和治疗结果。
