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癌症患者对信息的搜寻。

Cancer patients' search for information.

作者信息

Manfredi C, Czaja R, Price J, Buis M, Janiszewski R

机构信息

Prevention Research Center, University of Illinois at Chicago, School of Public Health 60607.

出版信息

J Natl Cancer Inst Monogr. 1993(14):93-104.

PMID:8123363
Abstract

This study explored the information-seeking behavior of 257 cancer patients or their relatives who received specific, treatment-related information from the Illinois office of the Cancer Information Service (CIS); it also explored the information-seeking behavior of a sample of 262 other cancer patients matched for age, gender, race, cancer site, and type of hospital where first seen. Among the matched patients, 53% sought information from at least one source besides their physicians. These information seekers were similar to the selected CIS patients in many respects. Compared with patients who did not seek information, both CIS patients and these other information seekers were more likely to have felt more stressed when first diagnosed, to have sought a second opinion, to have been seen at more hospitals and by more physicians since diagnosis, to prefer greater information about and involvement in their treatment plans, and to have been less confident that physicians always have the most current cancer knowledge. The majority of both information-seeking groups sought explanatory information about their cancer or treatment, and most wanted information just after their diagnosis and before starting treatment. Those in the comparison sample, however, had less well-defined questions and consulted fewer sources; only a few of them received the type of information provided by the CIS, and they were less likely to discuss with their physicians the information obtained from various sources.

摘要

本研究探讨了257名癌症患者或其亲属的信息寻求行为,这些患者或亲属从伊利诺伊州癌症信息服务办公室(CIS)获取了特定的、与治疗相关的信息;同时还探讨了262名其他癌症患者样本的信息寻求行为,这些患者在年龄、性别、种族、癌症部位以及首次就诊医院类型方面进行了匹配。在这些匹配的患者中,53%的人除了向医生咨询外,还至少从一个其他渠道寻求信息。这些信息寻求者在许多方面与选定的CIS患者相似。与不寻求信息的患者相比,CIS患者和这些其他信息寻求者在首次被诊断时都更有可能感到压力更大,更有可能寻求第二种意见,自诊断以来看过更多的医院和医生,更希望获得更多关于其治疗计划的信息并参与其中,并且对医生总是掌握最新癌症知识的信心较低。两个信息寻求群体中的大多数人都寻求有关其癌症或治疗的解释性信息,并且大多数人在诊断后和开始治疗前就想要获得信息。然而,比较样本中的患者问题定义不太明确,咨询的信息来源较少;他们中只有少数人获得了CIS提供的那种信息,并且他们不太可能与医生讨论从各种来源获得的信息。

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