肿瘤学患者与肿瘤学家的沟通:主要问题及解决策略

V. Zub, A. Kotuza, O. Tolstanov
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引用次数: 0

摘要

背景医患沟通是为肿瘤学患者提供的主要支持性护理之一。它影响治疗结果,以及患者在社会中、家人和同事之间的互动。此外,新冠肺炎和俄罗斯对乌克兰的军事入侵使改善医患沟通的问题变得紧迫。客观的本研究的目的是在分析肿瘤治疗中医患沟通中存在的问题的基础上提出建议。方法。这项社会学研究涉及2021年11月至2022年2月期间住院治疗的419名患者,使用EORTC QLQ-COMU26问卷。后果在战前,乌克兰肿瘤疾病患者的最差指标是“患者的积极作用”(82.00)和“专家纠正误解”(89.19)。最佳指标是“专家的技能(语言/非语言)”,100分评分表得分为93.25,以及“沟通满意度”–97.04(满分100分)。结论。在制定肿瘤护理组织计划时,必须考虑通过患者和专家之间关于提供医疗和心理护理的有效沟通为患者提供心理护理的机制。
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COMMUNICATION OF ONCOLOGICAL PATIENTS WITH ONCOLOGISTS: MAIN PROBLEMS AND PROBLEM-SOLVING STRATEGIES
Background. Physician-patient сommunication is one of the main supportive care provided to oncological patients. It affects treatment outcomes, as well as the interaction of patients within the society, their family and colleagues. Furthermore, COVID-19 and military invasion of Russia into Ukraine makes the issue of improvement of physician-patient communication urgent. Objective. The aim of the study is to develop recommendations based on the analysis of denfined problems in physician-patient communication in of oncological treatment. Methods. The sociological research involved 419 patients during their inpatient treatment in the period from November 2021 to February 2022 using the EORTC QLQ-COMU26 questionnaire. Results. In the pre-war period, in Ukrainian patients with oncological diseases the worst indicators were established for “Active role of a patient” (82.00) and “Correction of misunderstandings by a specialist” (89.19). The best indicators were established for “Skills of the specialist (verbal/non-verbal)” with the score of 93.25 by a 100-point grading scale, as well as “Satisfaction with communication” – 97.04 by a 100-point grading scale. Conclusions. When developing programs for organization of oncological care, mechanisms for providing psychological care to patients through effective communication between patients and specialists regarding providing medical and psychological care must be taken into account.
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