Doctor-patient communication -: Results of a four-year prospective study in rectal cancer patients
Doctor-patient communication -: Results of a four-year prospective study in rectal cancer patients
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DOI：
10.1007/s10350-004-7278-6
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发表时间：
2003-08-01
影响因子：
3.9
通讯作者：
Hölzel, D
中科院分区：
文献类型：
--
作者：
Kerr, J;Engel, J;Hölzel, D
目的：本研究旨在探讨沟通对直肠癌患者四年以上生活质量的影响。以前的研究要么使用短期随访，要么只检查生活质量的某些方面，如焦虑和抑郁。研究方法：在一项前瞻性的观察性研究中，临床医生在两年的时间内招募了直肠癌患者，并在四年内发送了问卷。这些患者的临床详细信息由慕尼黑癌症登记处记录。欧洲癌症研究和治疗组织QLQ-C30和CR 38的心理评分是主要的结局变量。结果：39%的样本报告说，他们收到的通信的某些方面是不清楚的（无法理解或太少）。超过60%的人希望与他们的医生多说话。年轻患者和大医院的患者更有可能报告沟通不明确（P
Purpose: The purpose of the study was to examine the effect of communication on rectal cancer patients' quality of life over four years. Previous studies have either used short follow-up periods or examined only certain aspects of quality of life, such as anxiety and depression. Methods: In a prospective, observational study, rectal cancer patients, recruited by clinicians over a two-year period, were sent questionnaires over four years. The clinical details of these patients were recorded by the Munich Cancer Registry. The psychological scores from the European Organization for Research and Treatment of Cancer QLQ-C30 and CR38 were the main outcome variables. Results: Thirty-nine percent of the sample reported that some aspect of the communication they received was unclear (incomprehensible or too little). More than 60 percent wished to speak more with their physician. Younger patients and those in larger hospitals were more likely to report unclear communication (P