Gender-Related Needs and Preferences in Cancer Care Indicate the Need for an Individualized Approach to Cancer Patients
Gender-Related Needs and Preferences in Cancer Care Indicate the Need for an Individualized Approach to Cancer Patients
复制标题
DOI：
10.1634/theoncologist.2009-0337
复制
发表时间：
2010-01-01
期刊：
影响因子：
5.8
通讯作者：
Voest, Emile E.
中科院分区：
文献类型：
--
作者：
Wessels, Hester;de Graeff, Alexander;Voest, Emile E.
瞄准提高癌症患者的护理质量需要深入了解他们对癌症护理的具体愿望、需求和偏好。本研究的目的是探讨性别对癌症患者需求和偏好的影响。数据来自386份评估癌症患者对医疗保健偏好的问卷。多变量回归分析进行了从内科肿瘤患者在7家荷兰医院接受治疗的数据，使用问卷的规模作为因变量。患者对医生和护士的安全性、专业知识、表现和态度的评价最高。在21个量表中的15个和8个单项中的2个中，男性和女性患者对医疗保健的偏好存在显著差异。毫无例外，妇女认为这些量表和项目中提到的护理方面比男子更重要。多元回归分析显示，在所有与患者和疾病相关的因素中，性别是患者偏好的最重要的独立预测因素。性别影响癌症患者的需求和偏好，应考虑到最佳的癌症护理。癌症护理可能会针对性别，例如，关于沟通的手段和程度，支持的方式和程度，咨询和康复，咨询时间长度和医生分配。这项研究的结果可以指导医疗保健专业人员和组织制定一个性别特异性的医疗保健方法，以进一步改善癌症患者为中心的护理。肿瘤学家2010;15：648-655
Aim. Improving quality of care for cancer patients requires insight into their specific wishes, needs, and preferences concerning cancer care. The aim of this study was to explore the impact of gender on cancer patients' needs and preferences.Patients and Methods. Data were obtained from 386 questionnaires assessing cancer patients' preferences for health care. Multivariate regression analyses were performed with data obtained from medical oncology patients treated in seven Dutch hospitals, using the scales of the questionnaire as dependent variables.Results. Patients rated safety, expertise, performance, and attitude of physicians and nurses highest on their list of preferences. There were significant differences between male and female patients concerning preferences in health care in 15 of the 21 scales and in two of the eight single items. Without exception, women found the care aspects mentioned in these scales and items more important than men. Multivariate regression analysis showed that, of all the patient- and disease-related factors, gender was the most important independent predictor of patient preferences.Conclusion. Gender impacts cancer patients' needs and preferences and should be taken into account for optimal cancer care. Cancer care might be tailored toward gender, for example, with regard to the means and extent of communication, manner and extent of support, counseling and rehabilitation, consultation length, and physician assignment. The results of this study may guide health care professionals and organizations to develop a gender-specific health care approach to further improve cancer patient-centered care. The Oncologist 2010;15:648-655