癌症患者的信息需求——医患交流满意度及影响因素分析

Information Needs of Cancer Patients (4) Satisfaction with Doctor-patient Communication and Associated Factors

目的 :探讨癌症患者、亲属、医护人员对医患信息交流的满意度及其影响因素。方法 :随机抽取广州市两所肿瘤医院、部分综合医院和省生命之光俱乐部、清楚本人癌症诊断的患者 42 3例 ,采用自评信息需求问卷 (INQ)、一般情况问卷 (DQ)进行测查 ,并了解患者及其已获得需要的信息内容和数量、对医患交流的满意度。请 82位亲属和 86位医护人员回答了对医患交流的满意度 ,对结果进行分析。结果 :癌症患者、亲属、医护人员均有一定比例对医患信息交流的满意度不高 ,三者有显著性差异 ,医护人员满意度较低 ,提示其希望提高医患交流水平。患者的满意度受信息交流内容、交流形式、患者经历及信息与其偏好或建议符合程度的影响。结论 :在进行医患信息交流之前了解患者的需求和建议 ,提供患者需要的信息 ,并以其乐于接受的形式进行交流 ,是提高医患信息交流水平和满意度的关键。

Objectives:To study the satisfaction with doctor-patient communication among cancer patients, their relatives and medical staffs, and its associated factors.Methods:A total of 423 cancer patients were asked to rate their satisfaction with information communication, to complete the Information Need Questionnaire (INQ), the Demographic Questionnaire (DQ), and 4 questions regarding general information amount and content the patients got and wanted respectively. 82 relatives, 86 medical staffs were also asked to rate their satisfaction with information communication.Results:A certain proportion of cancer patients, their relatives and medical staffs were not very satisfied with their information communication. There are significant differences among them. The satisfaction of medical staffs was less. It suggests that they want to improve their communication level. Satisfaction with information communication of cancer patients was affected by the contents and styles of information communication, and whether their communication experiences met their preferences.Conclusions:Before providing information to cancer patients, we need to consider the style they want and to find out their needs and preferences.