Vetto J T, Dubois P M, Vetto I P
Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
J Cancer Educ. 1996 Fall;11(3):148-52. doi: 10.1080/08858199609528418.
To determine the impact of the distribution of patient-education pamphlets to women with benign breast conditions in a large urban multidisciplinary breast clinic.
It is clinic policy to administer such materials at the first patient visit for these conditions. A standardized telephone interview was conducted with a random sample of 50 such patients at a mean of five months after that visit (range 1-12 months).
While only 29 of the 50 women interviewed reported receiving such materials, 27 of these 29 women reported reading them. The patient's level of education and whether the patient had friends/relatives with breast cancer were not different between the women who had read the pamphlets and the women who had not (p = NS). The women who had received and read the material scored significantly better than did women who had not on a brief breast cancer screening questionnaire (p = 0.027). Of the former, all but three found the information of use; three-fourths of such women rated the materials 8 or higher on an increasing-usefulness scale of 1-10. The most frequently reported benefit gained from the materials was the proper conduct of breast self-examination. Overall patient satisfaction with the pamphlets was 91%. Half of the women receiving such materials shared them with other women.
Patient-education pamphlets distributed at a multidisciplinary breast clinic result in high patient satisfaction and better patient knowledge of breast health. However, these materials were received and read by patients less often than was expected by staff. Because 82% of all women interviewed reported that the clinic staff, the distributed pamphlets, and other reading materials were their best sources of information, it is further concluded that the distribution of such materials is an important function of a multidisciplinary breast clinic.
确定在一家大型城市多学科乳腺诊所向患有良性乳腺疾病的女性发放患者教育手册的影响。
该诊所的政策是在这些疾病患者首次就诊时发放此类材料。在就诊后平均五个月(范围为1至12个月),对50名此类患者进行了随机抽样的标准化电话访谈。
在接受访谈的50名女性中,只有29名报告收到了此类材料,其中29名女性中有27名报告阅读了这些材料。阅读手册的女性和未阅读手册的女性在患者教育程度以及患者是否有患乳腺癌的朋友/亲属方面没有差异(p =无显著性差异)。在一份简短的乳腺癌筛查问卷上,收到并阅读了材料的女性得分明显高于未阅读材料的女性(p = 0.027)。在前者中,除了三名女性外,其他所有人都认为这些信息有用;四分之三的此类女性在1至10的有用性递增量表上对这些材料的评分在8分或更高。从这些材料中最常报告获得的益处是正确进行乳房自我检查。患者对这些手册的总体满意度为91%。收到此类材料的女性中有一半与其他女性分享了这些材料。
在多学科乳腺诊所发放的患者教育手册带来了较高的患者满意度和患者对乳房健康的更好了解。然而,患者收到并阅读这些材料的频率低于工作人员的预期。由于所有接受访谈的女性中有82%报告称诊所工作人员、发放的手册和其他阅读材料是她们最好的信息来源,因此进一步得出结论,发放此类材料是多学科乳腺诊所的一项重要职能。