Japanese cancer patients' communication style preferences when receiving bad news
Japanese cancer patients' communication style preferences when receiving bad news
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DOI：
10.1002/pon.1102
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发表时间：
2007-07-01
期刊：
影响因子：
3.6
通讯作者：
Uchitomi, Yosuke
中科院分区：
文献类型：
--
作者：
Fujimori, Maiko;Parker, Patricia A.;Uchitomi, Yosuke
本研究描述了日本患者在接受坏消息时的沟通风格偏好，研究了日本人群中患者偏好（MPP）的因素结构，并探讨了可能与患者沟通风格偏好相关的变量。529名癌症门诊患者完成了几项心理社会测量，包括日本版的MPP（MPP-J），癌症心理适应量表（MAC）和医院焦虑和抑郁量表（HADS）。当收到坏消息时，患者希望获得详细的信息和支持性的环境。MPP-J呈现5因素结构：支持、促进、医疗信息、清晰解释和鼓励提问。回归分析表明，女性，战斗精神和焦虑的专注维度的MAC与所有5个MPP-J因素呈正相关。总之，日本癌症患者在接受坏消息时的沟通偏好与美国患者有所不同。日本医生应鼓励患者提出问题，并在传达坏消息时了解患者的人口统计学（例如性别），医学（疾病状态）和心理社会特征（战斗精神和焦虑）。版权所有（c）2006约翰威利父子有限公司。
This study describes the communication style preferences of Japanese patients when receiving bad news, examines the factor structure of the measure for patients' preferences (MPP) in a Japanese population, and explores variables that may be associated with patients' communication style preferences. Five hundred twenty-nine cancer outpatients completed several psychosocial measures including the Japanese version of the MPP (MPP-J), the Mental Adjustment to Cancer Scale (MAC), and the Hospital Anxiety and Depression Scale (HADS). The patients desired detailed information and a supportive environment when receiving bad news. The MPP-J demonstrated a 5-factor structure: support, facilitation, medical information, clear explanation, and encouraging question-asking. Regression analyses indicated that a female gender, the fighting spirit and anxious preoccupation dimensions of the MAC were positively associated with all 5 MPP-J factors. In conclusion, Japanese cancer patients' preferences for communication when receiving bad news differ somewhat from those of American patients. Japanese physicians should encourage patients to ask questions and should insider the demographic (e.g. gender), medical (disease status) and psychosocial characteristics (fighting spirit and anxious preoccupation) of patients when delivering bad news. Copyright (c) 2006 John Wiley & Sons, Ltd.