THE IMPACT OF FAMILY PRESENCE ON THE PHYSICIAN CANCER-PATIENT INTERACTION
THE IMPACT OF FAMILY PRESENCE ON THE PHYSICIAN CANCER-PATIENT INTERACTION
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DOI：
10.1016/0277-9536(91)90073-l
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发表时间：
1991-01-01
影响因子：
5.4
通讯作者：
BLANCHARD, EB
中科院分区：
文献类型：
--
作者：
LABRECQUE, MS;BLANCHARD, CG;BLANCHARD, EB
在473名肿瘤学家和成年癌症门诊患者之间的互动中，研究了医生的行为。其中99次互动是在探访期间家人在场的情况下进行的。有家人在场的患者病情可能更重，表现为较差的状态。与早先的报道相反，患者的年龄并没有预测患者是否可能有家人陪同。对医生的行为进行因素分析，得到6个因素，并以家庭和绩效状况为自变量进行多变量方差分析。医生在病房的时间、患者满意度和生活质量也在单独的分析中进行了检查。当家人在场时，医生花在病人身上的时间更长。结果表明，一般来说，当患者有家人陪同时，或者如果没有家人在场，当患者的表现状况较差时，医生会提供更多的信息。表现状况较差且不受医生行为影响的患者的满意度和生活质量较低。医生的行为既受家庭成员在场的影响，也受患者表现状况的影响。
Physician behaviors were studied in 473 interactions between oncologists and adult cancer outpatients. Ninety-nine of these interactions occured when family members were present during the visit. Patients with family members present were likely to be sicker as demonstrated by a poorer performance status. Contrary to earlier reports, age of the patient did not predict whether the patient was likely to be accompanied by a family member. The physician behaviors were factor analyzed to produce six factors and a multivariate analysis of variance was conducted using the presence of family and performance status as independent variables. The time the physician spent in the patient's room, patient satisfaction and quality of life were also examined in separate analyses. The time the physician spent with the patient was greater when family were present. The results showed that, in general, physicians provide more information when patients are accompanied by family members, or if no family are present, when the patient has a worse performance status. Patient satisfaction and quality of life were rated lower for patients with a worse performance status and were not impacted by physician behaviors. Physicians' behavior was affected by both the presence of a family member, and the patient's performance status.