The relationship between physician and cancer patient when initiating adjuvant treatment and its association with sociodemographic and clinical variables

被引：13

作者：

Jimenez-Fonseca, P. ^{[1
]}

Calderon, C. ^{[2
]}

Carmona-Bayonas, A. ^{[3
]}

Munoz, M. M. ^{[4
]}

Hernandez, R. ^{[5
]}

Mut Lloret, M. ^{[6
]}

Ghanem, I. ^{[7
]}

Beato, C. ^{[8
]}

Cacho Lavin, D. ^{[9
]}

Ivars Rubio, A. ^{[3
]}

Carrion, R. ^{[10
]}

Jara, C. ^{[11
]}

机构：

[1] Hosp Univ Cent Asturias, Dept Med Oncol, Planta 1,Bloque D,Ave Roma S-N, Oviedo 33011, Spain

[2] Univ Barcelona, Fac Psychol, Dept Clin Psychol & Psychobiol, Barcelona, Spain

[3] Hosp Univ Morales Meseguer, Dept Hematol & Med Oncol, Murcia, Spain

[4] Hosp Virgen de La Luz, Dept Med Oncol, Cuenca, Spain

[5] Hosp Univ Canarias, Dept Med Oncol, Tenerife, Spain

[6] Hosp Univ Son Espases, Dept Med Oncol, Mallorca, Spain

[7] Hosp Unin La Paz, Dept Med Oncol, Madrid, Spain

[8] Hosp Univ Virgen de La Macarena, Dept Med Oncol, Seville, Spain

[9] Hosp Univ Marques de Valdecilla, Dept Med Oncol, Santander, Spain

[10] Hosp Univ Sureste, Dept Med Oncol, Madrid, Spain

[11] Univ Rey Juan Carlos, Hosp Univ Fdn Alcorcon, Dept Med Oncol, Madrid, Spain

来源：

CLINICAL & TRANSLATIONAL ONCOLOGY | 2018年 / 20卷 / 11期

关键词：

Cancer; Coping; Distress; Medical oncologist; Satisfaction; Shared decision-making; SHARED DECISION-MAKING; QUALITY-OF-LIFE; POSTTRAUMATIC GROWTH; PSYCHOMETRIC PROPERTIES; EMOTIONAL DISTRESS; MENTAL ADJUSTMENT; SOCIAL SUPPORT; MINI-MAC; SDM-Q; SURVIVORS;

D O I：

10.1007/s12094-018-1870-z

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

PurposeThe aim of this study was to analyze differences in physician and patient satisfaction in shared decision-making (SDM); patients' emotional distress, and coping in subjects with resected, non-metastatic cancer.Methods602 patients from 14 hospitals in Spain were surveyed. Information was collected regarding physician and patient satisfaction with SDM, participants' emotional distress and coping, as well as patient sociodemographic and clinical characteristics by means of specific, validated questionnaires.ResultsOverall, 11% of physicians and 19% of patients were dissatisfied with SDM; 22% of patients presented hopelessness or anxious preoccupation as coping strategies, and 56% presented emotional distress. By gender, female patients showed a higher prevalence of dissatisfaction with SDM (23 vs 14%), anxious preoccupation (26 vs 17%), and emotional distress (63 vs 44%) than males. Hopelessness was more prevalent in individuals with stage III disease than those with stages I-II (28 vs 18%).ConclusionPhysicians must be mindful of the importance of emotional support and individual characteristics when communicating treatment options, benefits, and adverse effects of each alternative to oncological patients.

引用

页码：1392 / 1399

页数：8

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