{"title":"沟通技巧训练对台湾癌症患者预后之影响：个案对照研究。","authors":"Thi Ngoc Pham, Ji-Tseng Fang, Shih-Ying Chen, Chun-Kai Fang, Maiko Fujimori, Woung-Ru Tang","doi":"10.1002/pon.70275","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of communication skill training (CST) from both physicians and patients' perspectives.</p><p><strong>Methods: </strong>This case-control study was conducted at five hospitals across Taiwan using purposive sampling. Physicians were matched by gender, seniority, and department; patients were matched by age, gender, cancer type, and stage. A total of 232 patients were included: 116 in the experimental group (physicians who received CST) and 116 in the control group (physicians without CST). Physicians' truth-telling practices were evaluated immediately after CST using a 70-item questionnaire. Patient emotional distress was assessed 3 months later using the Hospital Anxiety and Depression Scale and Distress Thermometer.</p><p><strong>Results: </strong>A statistically significant difference in physicians' truth-telling practices was found between the groups. Physicians in the experimental group demonstrated significantly better truth-telling practices than those in the control group (265.23 ± 26.57 vs. 257.81 ± 29.84, p = 0.047). Three months after receiving bad news, patients in the experimental group had lower levels of depression (5.98 ± 3.80 vs. 7.26 ± 4.90, p = 0.049), anxiety (5.84 ± 3.47 vs. 6.80 ± 4.02, p = 0.030), and emotional distress (3.39 ± 2.60 vs. 4.40 ± 2.97, p = 0.013) compared to those in the control group.</p><p><strong>Conclusion: </strong>CST can improve physicians' truth-telling practices and reduce emotional distress in cancer patients. Regular CST should be integrated into medical education and in -service training to sustain these skills. Further studies are needed to explore the long-term benefits of CST and its impact on healthcare utilization.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 9","pages":"e70275"},"PeriodicalIF":3.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Communication Skills Training on Cancer Patients' Outcomes: A Case-Control Study in Taiwan.\",\"authors\":\"Thi Ngoc Pham, Ji-Tseng Fang, Shih-Ying Chen, Chun-Kai Fang, Maiko Fujimori, Woung-Ru Tang\",\"doi\":\"10.1002/pon.70275\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of communication skill training (CST) from both physicians and patients' perspectives.</p><p><strong>Methods: </strong>This case-control study was conducted at five hospitals across Taiwan using purposive sampling. Physicians were matched by gender, seniority, and department; patients were matched by age, gender, cancer type, and stage. A total of 232 patients were included: 116 in the experimental group (physicians who received CST) and 116 in the control group (physicians without CST). Physicians' truth-telling practices were evaluated immediately after CST using a 70-item questionnaire. Patient emotional distress was assessed 3 months later using the Hospital Anxiety and Depression Scale and Distress Thermometer.</p><p><strong>Results: </strong>A statistically significant difference in physicians' truth-telling practices was found between the groups. Physicians in the experimental group demonstrated significantly better truth-telling practices than those in the control group (265.23 ± 26.57 vs. 257.81 ± 29.84, p = 0.047). Three months after receiving bad news, patients in the experimental group had lower levels of depression (5.98 ± 3.80 vs. 7.26 ± 4.90, p = 0.049), anxiety (5.84 ± 3.47 vs. 6.80 ± 4.02, p = 0.030), and emotional distress (3.39 ± 2.60 vs. 4.40 ± 2.97, p = 0.013) compared to those in the control group.</p><p><strong>Conclusion: </strong>CST can improve physicians' truth-telling practices and reduce emotional distress in cancer patients. Regular CST should be integrated into medical education and in -service training to sustain these skills. Further studies are needed to explore the long-term benefits of CST and its impact on healthcare utilization.</p>\",\"PeriodicalId\":20779,\"journal\":{\"name\":\"Psycho‐Oncology\",\"volume\":\"34 9\",\"pages\":\"e70275\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psycho‐Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pon.70275\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70275","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
Effectiveness of Communication Skills Training on Cancer Patients' Outcomes: A Case-Control Study in Taiwan.
Objective: This study aimed to evaluate the effectiveness of communication skill training (CST) from both physicians and patients' perspectives.
Methods: This case-control study was conducted at five hospitals across Taiwan using purposive sampling. Physicians were matched by gender, seniority, and department; patients were matched by age, gender, cancer type, and stage. A total of 232 patients were included: 116 in the experimental group (physicians who received CST) and 116 in the control group (physicians without CST). Physicians' truth-telling practices were evaluated immediately after CST using a 70-item questionnaire. Patient emotional distress was assessed 3 months later using the Hospital Anxiety and Depression Scale and Distress Thermometer.
Results: A statistically significant difference in physicians' truth-telling practices was found between the groups. Physicians in the experimental group demonstrated significantly better truth-telling practices than those in the control group (265.23 ± 26.57 vs. 257.81 ± 29.84, p = 0.047). Three months after receiving bad news, patients in the experimental group had lower levels of depression (5.98 ± 3.80 vs. 7.26 ± 4.90, p = 0.049), anxiety (5.84 ± 3.47 vs. 6.80 ± 4.02, p = 0.030), and emotional distress (3.39 ± 2.60 vs. 4.40 ± 2.97, p = 0.013) compared to those in the control group.
Conclusion: CST can improve physicians' truth-telling practices and reduce emotional distress in cancer patients. Regular CST should be integrated into medical education and in -service training to sustain these skills. Further studies are needed to explore the long-term benefits of CST and its impact on healthcare utilization.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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