Health literacy needs in the diagnosis and treatment of acoustic neuroma patients from timing it right theory perspective: A qualitative study

IF 3.1 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-09-10 DOI:10.1016/j.pec.2025.109345

Huimin Liang , Cong Fu , Dongrui Wang , Pengjiao Xi , Hua Zhang , Chunmei Wang , Haize Ge , Yan Zhang

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引用次数: 0

Abstract

Background

The incidence of acoustic neuroma (AN) has steadily increased in recent years. AN patients' post-surgical quality of life is closely linked to their health literacy. Previous research has indicated that AN patients encounter various challenges at different phases of the disease. Understanding patients’ experiences and health literacy needs throughout the diagnostic and treatment processes is crucial for improving their overall health outcomes. The Timing It Right (TIR) framework emphasizes patients’ needs evolving across phases which is highly consistent with exploring the evolving health literacy needs of AN patients.

Objective

To explore the challenges and the evolving health literacy needs of patients with acoustic neuroma (AN) in different phase across the diagnosis and treatment journey, using TIR framework and considering Eastern cultural influences in healthcare context.

Methods

This qualitative descriptive study was conducted based on TIR framework. A total of 51 acoustic neuroma (AN) patients at different phases of the diagnosis and treatment process were included. Semi-structured interviews were employed for data collection, with the interview data analyzed and organized using Colaizzi's phenomenological analysis method.

Results

The study identified themes reflecting the unique experiences and health literacy needs of AN patients at each phase of diagnosis and treatment: 1. Diagnosis phase: urgent need for disease information and sense of uncertainty, strong need for psychological support, anxiety in treatment decision-making. 2. Preoperative phase: need for individualized information about surgical treatment for AN. 3. Postoperative phase: need for timely healthcare services to address postoperative stress. 4. Home Recovery phase: need for information on recurrence prevention, demand for ongoing medical support, persistent challenges (complex negative emotions, social avoidance, and poor adaptability to physical sensations).

Conclusion

HL needs among AN patients evolve across treatment phases, shaped not only by clinical milestones but also by sociocultural values, family dynamics, and existential concerns. Culturally sensitive, phase-matched, and multidisciplinary care strategies are essential to improving patient empowerment and long-term well-being.

Practice implications

Clinicians should adopt phase-specific interventions that integrate personalized communication, cultural awareness, and digital tools. Constructing full-cycle care teams that align with the TIR framework can enhance HL support, patient engagement, and overall treatment outcomes.

查看原文本刊更多论文

听神经瘤患者诊断与治疗的健康素养需求：时间权理论视角的定性研究

近年来，听神经瘤（AN）的发病率稳步上升。AN患者的术后生活质量与他们的健康素养密切相关。先前的研究表明，AN患者在疾病的不同阶段会遇到各种各样的挑战。在整个诊断和治疗过程中，了解患者的经历和卫生知识需求对于改善其整体健康结果至关重要。时机正确（TIR）框架强调患者需求在不同阶段的演变，这与探索AN患者不断变化的健康素养需求高度一致。目的探讨听神经瘤（AN）患者在诊断和治疗过程中不同阶段面临的挑战和不断变化的健康素养需求，采用TIR框架并考虑医疗保健背景下东方文化的影响。方法基于TIR框架进行定性描述性研究。本文共纳入51例听神经瘤（AN）患者，分别处于诊断和治疗过程的不同阶段。数据收集采用半结构化访谈，访谈数据采用Colaizzi现象学分析方法进行分析和整理。结果本研究确定的主题反映了AN患者在诊断和治疗的每个阶段的独特经历和健康素养需求。诊断阶段：迫切需要疾病信息和不确定感，强烈需要心理支持，治疗决策焦虑。2. 术前阶段：需要AN手术治疗的个体化信息。3. 术后阶段：需要及时的保健服务来解决术后压力。4. 家庭康复阶段：需要预防复发的信息，需要持续的医疗支持，持续的挑战（复杂的负面情绪，社交回避和对身体感觉的适应能力差）。结论AN患者的hl需求在不同治疗阶段发生变化，不仅受临床里程碑的影响，还受社会文化价值观、家庭动态和存在问题的影响。文化敏感、阶段匹配和多学科护理策略对于提高患者赋权和长期福祉至关重要。临床医生应采取具体阶段的干预措施，整合个性化沟通、文化意识和数字工具。构建符合TIR框架的全周期护理团队可以增强HL支持、患者参与和整体治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.