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Patient attitudes, behaviours, and other factors considered by doctors when estimating cancer patients' anxiety and desire for information
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Psychosocial oncology and supportive care. (Psychosocial oncology and supportive care)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. (Caring sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (Endocrine Oncology)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. (Hematologi)
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2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 4, 523-529 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to describe the patient attitudes, behaviours, and other factors, considered by doctors when estimating cancer patients' worry about how the disease may develop and the desire for information about the disease and its treatment. Data was gathered through semi-structured interviews with 19 doctors regarding 29 patients within endocrine oncology and haematology care, and the data were analysed by content analysis. The doctors considered the patients' verbal expressions, verbal behaviours, questions, body language, and facial expressions together with their own professional knowledge and experience, when estimating the patients' worry and desire for information. The doctors also considered contextual factors, patients' demographical factors, and medical situation when estimating the patients' worry, and also when estimating the patients' desire for information. The findings illustrate that estimating patients' worry and desire for information is a multifaceted and complex task, and that doctors consider not only the patients' verbal and nonverbal cues, but also factors, such as their own professional knowledge and experience, contextual factors, and patients' demographical variables. The findings should be communicated to doctors who meet cancer patients in medical consultations in order to illuminate the complexity of the medical consultation. The awareness of potentially important patient cues and other factors may aid doctors in their efforts to gain insight about their patients' emotions and informational needs.

Place, publisher, year, edition, pages
2007. Vol. 21, no 4, 523-529 p.
Keyword [en]
cancer, worry, communication, doctor, information
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-13022DOI: 10.1111/j.1471-6712.2007.00507.xISI: 000251206600014PubMedID: 18036016OAI: oai:DiVA.org:uu-13022DiVA: diva2:40792
Available from: 2008-09-01 Created: 2009-04-02 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Cancer Patients’ Satisfaction with Doctors’ Care: Consequences and Contributing Conditions
Open this publication in new window or tab >>Cancer Patients’ Satisfaction with Doctors’ Care: Consequences and Contributing Conditions
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The main aims were to: explore whether there is a relation between doctors’ ability to identify patients’ worry and wish for information and self-efficacy with regard to communicating with patients about difficult matters; describe which cues doctors consider when estimating patients’ worry and wish for information, and investigate whether there is a relation between patients’ satisfaction with doctors’ care and patients’ psychosocial function.

Eleven doctors and 69 patients (of which 36 patients participated in the longitudinal study) with carcinoid tumours participated. Doctors’ self-efficacy, and ability to identify patients’ worry/wish for information were investigated at patients’ first admission. Doctors were interviewed about which cues they considered when estimating patients worry/wish for information. Patients’ satisfaction with care (CASC SF 4.0) and psychosocial function (EORTC QLQ-C30, HADS) were measured longitudinally, during the first year after diagnosis.

Doctors reported higher self-efficacy when showing good ability to identify patients’ wish for information, than when showing less good ability, overestimated patients’ worry and underestimated patients’ wish for information. Doctors considered patients’ verbal behaviour and body language together with knowledge and experience when estimating patients worry and wish for information. Patients who met doctors showing good ability to identify their wish for information, reported a higher cognitive function than patients who met doctors showing less good ability. At all assessments patients expressed high satisfaction with doctor’ care and patients’ satisfaction did not change over time. Patients’ satisfaction with doctors’ care were related to their psychosocial function shortly after the first three admissions to specialist care. Patients with carcinoid tumours in some respects reported a worse HRQoL than the general Swedish population. Fatigue, diarrhoea, limited possibilities to work/pursue daily activities, and worry that the illness will get worse were among the most prevalent, and worst, aspects of disease- and treatment related distress.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2007. 63 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 280
Keyword
Caring sciences, Carcinoid tumours, Doctor, Worry, Information, Satisfaction with doctors’ care, Psychosocial function, Self-efficacy, Vårdvetenskap
Identifiers
urn:nbn:se:uu:diva-8267 (URN)978-91-554-6993-1 (ISBN)
Public defence
2007-11-09, Skoogsalen, Onkologiska kliniken, Akademiska sjukhuset ing 78, Uppsala, 13:15 (English)
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Available from: 2007-10-18 Created: 2007-10-18 Last updated: 2009-05-20Bibliographically approved

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Fröjd, CamillaLampic, ClaudiaLarsson, Gunnelvon Essen, Louise

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