医护人员沟通对新诊断白血病、淋巴瘤患者痛苦的保护作用

Fabio Guolo , Francesca Riccardi , Paola Del Sette , Cecilia Perrone , Paola Minetto , Andrea Todiere , Filippo Ballerini , Carola Riva , Michele Cea , Roberto Massimo Lemoli , Gabriella Biffa , Elena Sarcletti
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引用次数: 0

摘要

目的血液学恶性肿瘤患者面临着独特的疾病轨迹,这导致了患者的高度焦虑。医患沟通可以提高幸福感、治疗联盟和依从性;然而,其对血液学的影响仍未得到充分探索。我们调查了白血病和淋巴瘤患者对医疗保健提供者的沟通和他们的感知支持的满意度,以及他们对痛苦的影响。方法在这项横断面观察性研究中,54名白血病和淋巴瘤患者完成了一份问卷,评估他们感知到的支持、沟通和痛苦。我们进行了相关和回归分析,以评估医护人员-患者沟通和感知支持如何与痛苦相关。结果我们发现60%以上的患者有中度到高度的痛苦。主要结果显示,痛苦与从医疗保健提供者那里获得足够信息的感觉有关,β = - 0.20, p = 0.046,以及情感问题,β = 0.66, p < 001,和实际问题,β = 0.28, p = 0.006。结论:研究结果强调了医疗保健提供者通过满足患者的信息需求来减少痛苦的作用,强调了有针对性的沟通培训的必要性。创新:这项研究在血液学领域开创了先机,展示了以患者为中心的沟通和量身定制的策略如何在不可预测的轨迹中有效地支持患者的健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The protective role of HCWs communication for the distress of newly diagnosed people with leukemia and lymphoma

Objectives

Patients with hematologic malignancies face a unique illness trajectory that contributes to high distress. Physician-patient communication can enhance well-being, therapeutic alliance, and adherence; however, its impact in hematology remains underexplored. We investigate the satisfaction of people with leukemia and lymphoma regarding the communication of healthcare providers and their perceived support, and their effects on distress.

Methods

In this cross-sectional, observational study, 54 individuals with leukemia and lymphoma completed a questionnaire assessing their perceived support, communication, and distress. We conducted correlation and regression analyses to assess how healthcare worker–patient communication and perceived support relate to distress.

Results

We found moderate to high distress in more than 60 % of patients. Main results revealed that distress was related to the perception of having received adequate information from healthcare providers, β = −0.20, p = .046, along with emotional, β = 0.66, p < .001, and practical problems, β = 0.28, p = .006.

Conclusions

Findings highlight healthcare providers' role in reducing distress by addressing patients' informational needs, underscoring the necessity of targeted communication training.

Innovation

This study pioneers evidence in hematology, demonstrating how patient-centered communication and tailored strategies effectively support patients' well-being in unpredictable trajectories.
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来源期刊
PEC innovation
PEC innovation Medicine and Dentistry (General)
CiteScore
0.80
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