通过同情的沟通和减少不确定性,促进乳腺癌患者的心理调整
Elizabeth Broadbridge1, Kathryn Greene1, Maria K Venetis1
1Department of Communication, Rutgers University, New Brunswick, NJ, USA.
Patient education and counseling
|May 27, 2023
概括
瘤学家的同情沟通通过减少不确定性来改善乳腺癌患者的心理福祉. 这种影响对前患者来说更强烈,突出了在整个癌症护理过程中需要解决患者的不确定性.
科学领域:
- 在瘤学瘤学.
- 心理医学 心理医学
- 卫生传播健康传播
背景情况:
- 在乳腺癌治疗期间,患者的心理健康至关重要.
- 提供者沟通显著影响患者对诊断和治疗的调整.
- 疾病理论中的不确定性为了解患者对病情的反应提供了一个框架.
研究的目的:
- 检查 empathic 提供者沟通如何影响乳腺癌患者的心理健康.
- 调查减少不确定性作为这种关系中介者的作用.
- 为了确定治疗状态是否能缓和同情沟通对患者调整的影响.
主要方法:
- 结构方程建模 (SEM) 用于分析308名乳腺癌患者 (121名当前,187名前) 的数据.
- 调查问卷评估了瘤学家对同情,症状负担,不确定性和心理调整的看法.
- 测试了假设的关系,考虑治疗状态作为调节者.
主要成果:
- 较高的症状负担与不确定性增加和心理调整能力降低相关.
- 减少不确定性与改善的心理调整有关.
- 对所有患者来说,增加的同情沟通与较低的症状负担和不确定性有关.
- 治疗状态缓和了不确定性和调整之间的关系,在以前的患者中观察到更强的效果.
结论:
- 对于乳腺癌患者的心理调整来说,提供者同情沟通的感知至关重要.
- 解决患者关于症状和预后的不确定性在整个癌症护理连续过程中是有益的.
- 瘤学家应优先管理治疗期间和治疗后患者的不确定性.
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