- 作者：Kimberley A. Foley ; MSc&lowast ; ; &dagger ; ; Deb Feldman-Stewart ; PhD&lowast ; ; &Dagger ; ; Patti A. Groome ; PhD&lowast ; ; &dagger ; ; Michael D. Brundage ; FRCPC&lowast ; ; &dagger ; ; &Dagger ; ; § ; ; Siobhan McArdle ; MSc§ ; ; David Wallace ; MSc&lowast ; ; &dagger ; ; Yingwei Peng ; PhD&lowast ; ; &dagger ; ; ‖ ; William J. Mackillop ; FRCPC&lowast ; ; &dagger ; ; &Dagger ; ; § ; ; William.mackillop@krcc.on.ca" class="auth_mail" title="E-mail the corresponding author
- 刊名：International Journal of Radiation Oncology*Biology*Physics
- 出版年：2016
- 出版时间：1 February 2016
- 年：2016
- 卷：94
- 期：2
- 页码：280-288
- 全文大小：910 K
Methods and Materials
We reviewed the literature and interviewed patients and health professionals to identify elements of personal care pertinent to patients undergoing radiation therapy for prostate cancer. We identified 143 individual elements relating to 10 aspects of personal care. Patients undergoing radical radiation therapy for prostate cancer completed a self-administered questionnaire in which they rated the importance of each element. The overall importance of each element was measured by the percentage of respondents who rated it as “very important.” The importance of each aspect of personal care was measured by the mean importance of its elements.
Results
One hundred eight patients completed the questionnaire. The percentage of patients who rated each element “very important” ranged from 7% to 95% (mean 61%). The mean importance rating of the elements of each aspect of care varied significantly: “perceived competence of caregivers,” 80%; “empathy and respectfulness of caregivers,” 67%; “adequacy of information sharing,” 67%; “patient centeredness,” 59%; “accessibility of caregivers,” 57%; “continuity of care,” 51%; “privacy,” 51%; “convenience,” 45%; “comprehensiveness of services,” 44%; and “treatment environment,” 30% (P<.0001). Neither age nor education was associated with importance ratings, but the patient's health status was associated with the rating of some elements of care.
Conclusions
Many different elements of personal care are important to patients undergoing radiation therapy for prostate cancer, but the 3 aspects of care that most believe are most important are these: the perceived competence of their caregivers, the empathy and respectfulness of their caregivers, and the adequacy of information sharing.