Effect of providing cancer patients with the audiotaped initial consultation on satisfaction, recall, and quality of life: A randomized, double-blind study

Effect of providing cancer patients with the audiotaped initial consultation on satisfaction, recall, and quality of life: A randomized, double-blind study
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DOI:
10.1200/jco.2000.18.16.3052
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发表时间:
2000-08-01
影响因子:
45.3
通讯作者:
de Haes, JCJM
de Haes, JCJM
中科院分区:
医学1区
文献类型:
--
作者:
Ong, LML;Visser, MRM;de Haes, JCJM

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目的:通过随机双盲研究,提供录音初步咨询对癌症患者的满意度,回忆和生活质量的影响wetsInvestigatedPatients和方法:妇科或内科肿瘤门诊转诊的连续性癌症患者符合条件。最初的磋商进行了录音。患者被提供胶带(实验组)或不提供胶带(对照组)。基线变量包括社会人口统计学、信息偏好、应对方式和临床特征,随访(1周和3个月后)变量包括对干预的态度、满意度、回忆和生活质量。结果:共纳入201例患者(应答率71%),其中实验组105例,对照组96例。大多数患者(75%)听磁带,其中大多数(73%)与他人一起听。几乎所有的患者,实验组(96%)和对照组(98%)对干预措施持肯定态度。期望得到了证实;有录音带的病人对学习的满意度高于无录音带的病人(P <0.05),记忆的信息量高于无录音带的病人(P <0.01)。对生活质量的影响干预和患者年龄之间的交互作用被发现的满意度与录音咨询(P <0.01)和回忆的诊断信息(P <0.01);访问磁带似乎更有助于提高满意度在年轻的患者和回忆的诊断信息在老年patient.Conclusion:癌症患者和他们的家人价值的录音首次咨询。这种干预提高了他们的满意度,改善了他们对信息的回忆。磁带似乎更有助于提高年轻患者的满意度和老年患者的诊断信息的回忆。(C)2000年,美国临床肿瘤学会。
Purpose: By means of a randomized double-blind study, the effect of providing taped initial consultations on cancer patients' satisfaction, recall, and quality of life wets investigatedPatients and Methods: Consecutive cancer patients referred to either the gynecology or medical oncology outpatient clinic were eligible. Initial consultations were audiotaped. Patients were either provided with the tape (experimental group) or not (control group). Baseline variables included sociodemographics, preferences for information, coping styles, and clinical characteristics, Follow-up (after 1 week and 3 months) variables included attitudes toward the intervention, satisfaction, recall, and quality of life. Assessments took place through mailed questionnaires and telephone interviews.Results: Two hundred one patients were included (response, 71%), 105 in the experimental group and 96 in the control group. Most patients (75%) listened to the tape, the majority of which (73%) listened with others. Almost all patients, bath in the experimental group (96%) and control group (98%) were positive about the intervention. Expectations were confirmed; patients provided with the tape were more satisfied (P < .05) and recalled more information (P < .01) than patients without the tape, The intervention did not have! an effect on quality of life. An interaction effect was found between the intervention and patients' age on satisfaction with the taped consultation (P < .01) and recall of diagnostic information (P < .01); access to tapes seems more helpful in enhancing satisfaction in younger patients and recall of diagnostic information in older patients.Conclusion: Cancer patients and their families value the taped initial consultation. This intervention enhances their satisfaction and improver their recall of information. Tapes seem more helpful in enhancing satisfaction in younger patients and recall of diagnostic information in older patients. (C) 2000 by American Society of Clinical Oncology.