Patients' Trust in Physician, Patient Enablement, and Health-Related Quality of Life During Colon Cancer Treatment
Patients' Trust in Physician, Patient Enablement, and Health-Related Quality of Life During Colon Cancer Treatment
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DOI：
10.1007/s13187-017-1166-y
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发表时间：
2017-09-01
影响因子：
1.6
通讯作者：
Neumann, Melanie
中科院分区：
文献类型：
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作者：
Ernstmann, Nicole;Wirtz, Markus;Neumann, Melanie
在癌症护理中，患者及其家属经历了重大的情绪困扰，患者必须处理复杂的医疗信息，以患者为中心是护理质量的一个重要方面。本研究的目的是检查患者的信任，他们的肿瘤学家和患者的启用对结肠癌患者的健康相关的生活质量的变化，在后续护理的影响。我们进行了一项前瞻性研究，在德国肿瘤学家（N = 44）的私人执业的代表性样本。患者（N = 131）在首次咨询前（T0）、首次咨询后立即（T1）和两个月后（T2）填写了标准化问卷。数据采用结构方程模型进行分析。发现对医生的信任与T1和T2之间身体功能的变化之间以及对医生的信任与患者的支持之间存在显着关联。患者启用与T1和T2之间的身体功能变化显著相关。研究结果强调了在肿瘤治疗中建立密切和信任的医患关系的重要性。关系质量和健康结果之间的关联的一个核心机制似乎是病人的能力。通过让患者了解他们的诊断，治疗和副作用，使他们能够科普他们的情况，可以影响身体领域与健康相关的生活质量。
In cancer care, where patients and their families experience significant emotional distress and patients have to deal with complex medical information, patient centeredness is an important aspect of quality of care. The aim of this study is to examine the impact of patients' trust in their oncologists and patients' enablement on changes in health-related quality of life of colon cancer patients during follow-up care. We conducted a prospective study in a representative sample of private practices of German oncologists (N = 44). Patients (N = 131) filled out a standardized questionnaire prior to their first consultation (T0), directly after the first consultation (T1) and after two months (T2). Data were analyzed by structural equation modeling. Significant associations were found between trust in physician and changes in physical functioning between T1 and T2, and between trust in physician and patient enablement. Patient enablement is significantly associated with changes in physical functioning between T1 and T2. The results underline the importance of building a close and trustful patient-physician relationship in the oncology encounter. A central mechanism of the association between the quality of the relationship and health outcomes seems to be patient enablement. To enable patients to cope with their situation by making them understand their diagnosis, treatments, and side effects can impact health-related quality of life in physical domains.