Cancer patients' referral wish: effects of distress, problems, socio-demographic and illness-related variables and social support sufficiency
Cancer patients' referral wish: effects of distress, problems, socio-demographic and illness-related variables and social support sufficiency
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DOI：
10.1002/pon.4067
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发表时间：
2016-11-01
期刊：
影响因子：
3.6
通讯作者：
Hoekstra-Weebers, J. E. H. M.
中科院分区：
文献类型：
--
作者：
Admiraal, J. M.;van Nuenen, F. M.;Hoekstra-Weebers, J. E. H. M.
背景本研究的目的是检查癌症患者感知到的痛苦和问题、社会人口统计和疾病相关变量以及社会支持充足性对转诊意愿的影响。方法1340 名患者（回应=51%）组成的横断面小组完成了一份由荷兰版痛苦温度计和问题列表组成的调查问卷，包括转诊意愿问题、社会人口统计和疾病相关变量以及感知社会支持的问题 充足性。我们进行了单变量和多变量分析，以调查这些变量对患者转诊意愿的影响。结果在完成转诊意愿问题的患者中 (N=1297)，13% 的患者希望转诊，21% 的患者考虑转诊，而 66% 的患者不想转诊。单变量分析显示，与没有转诊愿望的患者相比，有（可能）愿望的患者更加痛苦，在所有问题清单领域报告更多问题，更年轻，更有可能没有孩子或孩子住在家里，受教育程度更高，更有可能就业，正在积极治疗或最近被诊断，接受更强化的治疗，更有可能认为收到的支持不足。最终的序数逻辑回归分析显示，痛苦、实际和情感问题、年龄和治疗阶段对转诊意愿的独立影响 ((2)(6)=205.9；p
BackgroundThe present study's aim was to examine effects of cancer patients' perceived distress and problems, socio-demographic and illness-related variables and social support sufficiency on referral wish.MethodsA cross-sectional group of 1340 patients (response=51%) completed a questionnaire consisting of the Dutch version of the Distress Thermometer and Problem List, including the referral wish question, and questions on socio-demographic and illness-related variables and perceived social support sufficiency. Univariate and multivariate analyses were performed to investigate the effects of these variables on patients' referral wish.ResultsOf the patients who completed the referral wish question (N=1297), 13% wished and 21% considered a referral, while 66% did not want a referral. Univariate analyses showed that, in comparison with patients not having a referral wish, those having a (maybe) wish were more distressed, reporting more problems in all Problem List domains, younger, more likely not to have children or children living at home, higher educated, more likely to be employed, under active treatment or recently diagnosed, receiving more intensive treatment and more likely to perceive support received to be insufficient. A final ordinal logistic regression analysis showed independent effects of distress, practical and emotional problems, age and treatment phase on referral wish ((2)(6)=205.9; p