Perceived Helpfulness of Physicians' Communication Behavior and Breast Cancer Patients' Level of Trust Over Time
Perceived Helpfulness of Physicians' Communication Behavior and Breast Cancer Patients' Level of Trust Over Time
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DOI：
10.1007/s11606-008-0880-x
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发表时间：
2009-02-01
影响因子：
5.7
通讯作者：
Gustafson, David H.
中科院分区：
文献类型：
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作者：
Arora, Neeraj K.;Gustafson, David H.
我们评估了医生的沟通行为与乳腺癌患者对医生的信任之间的关系。在诊断的第一年进行基线、2个月和5个月随访的纵向调查。新诊断的乳腺癌患者（N = 246）。我们收集了患者对医生提供的信息、情感和决策支持的有用性和患者信任的感知数据。线性回归模型评估了当前和先前医生支持水平与患者信任的关系。在基线时，从医生那里获得有用的信息、情感和决策支持的患者报告了更高的信任度（分别为p < 0.05、p < 0.001和p < 0.01）。在2个月的评估中，基线信息支持和2个月的信息和情感支持与更高的信任相关（p < 0.05, p < 0.01, p < 0.05）。在5个月的评估中，只有5个月时来自医生的有益情感支持与更高的信任相关（p < 0.01）。有趣的是，虽然随着时间的推移，所有三种类型的医生支持的感知帮助性显著下降，但患者的信任仍然很高，没有变化。研究结果表明，虽然信息和决策支持可能在治疗过程的早期对患者信任更重要，但医生的情感支持可能对整个诊断的最初一年保持信任很重要。
We evaluated the association between physicians' communication behavior and breast cancer patients' trust in their physicians.Longitudinal survey conducted at baseline, 2-month, and 5-month follow-up during first year of diagnosis.Newly diagnosed breast cancer patients (N = 246).We collected data on patient perceptions of the helpfulness of informational, emotional, and decision-making support provided by physicians and patients' trust. Linear regression models evaluated the association of concurrent and prior levels of physician support with patients' trust.At baseline, patients who received helpful informational, emotional, and decision-making support from physicians reported greater trust (p < 0.05, p < 0.001, and p < 0.01, respectively). At the 2-month assessment, baseline informational support and informational and emotional support at 2-months were associated with greater trust (p < 0.05, p < 0.01, and p < 0.05, respectively). At the 5-month assessment, only helpful emotional support from physicians at 5 months was associated with greater trust (p < 0.01). Interestingly, while perceived helpfulness of all three types of physician support decreased significantly over time, patient trust remained high and unchanged.Findings suggest that while informational and decision-making support may be more important to patient trust early in the course of treatment, emotional support from physicians may be important to maintain trust throughout the initial year of diagnosis.