Understanding immunotherapy terminology: An analysis of provider-patient conversations

Immunomedicine Pub Date : 2021-09-02 DOI:10.1002/imed.1028
Shannon Blee BS, Bari Rosenberg MD, Jeffrey M. Switchenko PhD, Rachel Hianik BS, Mary Catherine Thomson BS, Margie Dixon BS, Mehmet Asim Bilen MD, Rebecca D. Pentz PhD
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Abstract

Immunotherapy terminology is complex and can be difficult for patients to understand, threatening informed consent. The aims of this exploratory study are to determine whether patients understand immunotherapy terminology and if the provider defining the term improves patient understanding. Good patient/provider communication is important for good informed consent, patient adherence to treatment and patient outcomes.

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理解免疫治疗术语:医患对话分析
免疫治疗术语复杂,患者难以理解,威胁到知情同意。本探索性研究的目的是确定患者是否理解免疫治疗术语,以及提供者对术语的定义是否提高了患者的理解。良好的患者/提供者沟通对于良好的知情同意、患者对治疗的依从性和患者结果至关重要。方法观察肿瘤提供者与患者讨论免疫治疗的对话(n = 39),并记录使用的技术术语。经同意后,患者在谈话后接受访谈,以评估他们对这些术语的理解(n = 39)。使用卡方检验、Fisher精确检验或方差分析(ANOVA)对各项进行比较。结果“免疫治疗”是最难理解的,正确定义免疫治疗的比例为48.7%(19/39)。“免疫治疗药物”的理解率为53.8%(14/26)。对“免疫系统”的理解为88.5%(23/26)。提供者在97.4%的谈话中定义了免疫治疗。在谈话中定义免疫疗法与正确定义的可能性之间没有相关性(p = 0.487)。92.3%的谈话中定义了“免疫系统”(n = 26),在谈话中定义免疫系统与患者理解的增加相关(p = 0.009)。结论本研究结果表明患者在理解某些免疫治疗术语方面存在困难。由于患者对关键术语的理解对于知情同意和患者护理至关重要,因此实施干预措施以提高理解至关重要。
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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