Recall in older cancer patients: Measuring memory for medical information
Recall in older cancer patients: Measuring memory for medical information
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DOI：
10.1093/geront/48.2.149
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发表时间：
2008-04-01
期刊：
影响因子：
5.7
通讯作者：
Bensing, Jozien
中科院分区：
文献类型：
--
作者：
Jansen, Jesse;van Weert, Julia;Bensing, Jozien
目的：对于老年癌症患者来说，记住医疗信息可能特别费力，但据我们所知，这种能力从未仅在这个特定年龄组中进行过评估。本研究的目的是探讨老年癌症患者在化疗前接受患者教育后对信息的回忆情况。设计和方法：我们构建了一个回忆问卷，包括多项选择题、完成项目和开放式问题，这些问题与治疗信息和如何处理副作用的建议有关。在化疗治疗前的护理咨询后，69名老年患者（M = 71.8岁，SD = 4.1）立即完成了问卷调查。我们将回忆与磋商录像中的实际交流进行了对比。结果：在咨询期间，平均讨论了82.2个问题。开放式题的平均正确回忆率为23.2%，完成式题为68.0%，多项选择题为80.2%。意义：老年癌症患者面临着大量的信息。回忆的信息强烈依赖于问题的格式，特别是积极的再现似乎是穷人。为了改善治疗结果，重要的是癌症患者能够积极检索有关如何预防和识别不良副作用的知识，并由卫生专业人员进行检查。我们就如何让老年癌症患者更容易记住信息提出了建议。
Purpose: Remembering medical treatment information may be particularly taxing for older cancer patients, but to our knowledge this ability has never been assessed in this specific age group only. Our purpose in this study was to investigate older cancer patients' recall of information after patient education preceding chemotherapy. Design and Methods: We constructed a recall questionnaire consisting of multiple-choice questions, completion items, and open-ended questions related to information about treatment and recommendations on how to handle side effects. Immediately after a nursing consultation preceding chemotherapy treatment, 69 older patients (M = 71.8 years, SD = 4.1) completed the questionnaire. We checked recall against the actual communication in video recordings of the consultations. Results: On average, 82.2 items were discussed during the consultations. The mean percentage of information recalled correctly was 23.2% for open-ended questions, 68.0% for completion items, and 80.2% for multiple-choice questions. Implications: Older cancer patients are confronted with a lot of information. Recall of information strongly depended on question format; especially active reproduction appeared to be poor. To improve treatment outcomes, it is important that cancer patients are able to actively retrieve knowledge about how to prevent and recognize adverse side effects and that this is checked by the health professional. We make suggestions on how to make information more memorable for older cancer patients.