Effect of advanced cancer patients' awareness of disease status on treatment decisional conflicts and satisfaction during palliative chemotherapy: a Korean prospective cohort study

被引：33

作者：

Baek, Sun Kyung ^{[1
]}

Kim, Si-young ^{[1
]}

Heo, Dae Seog ^{[2
]}

Yun, Young Ho ^{[3
]}

Lee, Myung Kyung ^{[3
]}

机构：

[1] Kyung Hee Univ, Dept Internal Med, Med Ctr, Seoul 130702, South Korea

[2] Seoul Natl Univ Hosp, Dept Internal Med, Seoul 110744, South Korea

[3] Natl Canc Ctr, Div Canc Control, Res Inst, Goyang, Gyeonggi, South Korea

来源：

SUPPORTIVE CARE IN CANCER | 2012年 / 20卷 / 06期

关键词：

Decision making; Palliative chemotherapy; Patients' awareness of incurable status; Decisional conflicts and satisfaction; END-OF-LIFE; BREAST-CANCER; PATIENTS PREFERENCES; INFORMATION NEEDS; ILL PATIENTS; BAD-NEWS; COMMUNICATION; CARE; DIAGNOSIS; ONCOLOGY;

D O I：

10.1007/s00520-011-1218-5

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Our purpose was to evaluate the effect of cancer patients' awareness of their incurable disease status on decisional conflict and satisfaction with treatment choice. In this prospective cohort study, advanced cancer patients who were offered palliative chemotherapy completed questionnaires on their knowledge of their condition, their treatment decision conflicts, and their satisfaction with their treatment decisions. We enrolled 98 patients; 94 reported that they were aware of their advanced status and 50 were not. Decisional conflicts for all patients showed a significant decrease after treatment, but aware patients were significantly more satisfied with their decision (P = 0.02). Patients' awareness of their incurable status was associated with greater satisfaction with their decision to receive palliative chemotherapy.

引用

页码：1309 / 1316

页数：8

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