RESUMO
BACKGROUND: Communication between patients and health providers influences patient satisfaction, but it is unknown whether similarity in communication styles results in higher patient satisfaction. METHODS: This study was conducted in the Smilow Cancer Hospital Breast Center. During routine follow-up visits, patients completed a Communication Styles Assessment (CSA), health survey (SF-12), Princess Margaret Hospital Satisfaction with Doctor Questionnaire, and brief demographic form. Physicians and Advanced Practice Providers were also asked to complete the CSA. Patients and providers were blinded to each other's responses. A communication styles concordance score was calculated as the Pearson correlation between 80 binary CSA items for each provider/patient pair. Factors affecting patient satisfaction scores were assessed in mixed-effects models. RESULTS: In total, 330 patients were invited to participate; of these 289 enrolled and 245 returned surveys. One hundred seventy-four completed all survey components, and 18 providers completed the CSA. Among the factors considered, physical health score (effect size = 0.0058, 95% CI 0.00051 to 0.0011, p = 0.032) and employment status (0.12, 95% CI - 0.0094 to 0.25, p = 0.069) had the greatest impact on patient satisfaction. However, patients who were not employed and less physically healthy had significantly elevated satisfaction scores when their communication style was more similar to their provider's (1.52, 95% CI 0.66 to 2.38, p = 0.0016). CONCLUSIONS: Patients who were physically healthy and employed were generally more satisfied with their care. The similarity in communication styles of patients and providers had a greater impact on patient satisfaction for patients who were less physically healthy and not employed.
Assuntos
Emprego/psicologia , Satisfação do Paciente/estatística & dados numéricos , Adulto , Idoso , Comunicação , Feminino , Pessoal de Saúde , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Relações Médico-PacienteRESUMO
OBJECTIVE: To describe the visual field defects in retinoblastoma survivors and relate those defects to characteristics such as tumor size, tumor location, and treatment modality. METHODS: Thirty-one patients treated for retinoblastoma were included in this study. Humphrey visual fields were determined in 33 eyes. RESULTS: Twenty-seven patients (29 eyes, 68 tumors) had sufficient diagnosis and treatment data available for further analysis. Twenty-six of the 27 patients had both absolute and relative visual field defects. Four types of visual field defects were observed and correlated with location of the tumor and therapy to the individual tumors: (1) no residual defect, (2) absolute scotoma, (3) arcuate and sector scotoma, and (4) "pseudo"-visual field defects caused by relative enophthalmos resulting from radiation. CONCLUSIONS: Patients with retinoblastoma demonstrate a variety of long-term visual field defects after treatment for their intraocular disease. Characteristics that determine the size and type of defects are tumor size, tumor location, and treatment method.
Assuntos
Neoplasias da Retina/fisiopatologia , Retinoblastoma/fisiopatologia , Sobreviventes , Transtornos da Visão/fisiopatologia , Campos Visuais/fisiologia , Antineoplásicos Alquilantes/uso terapêutico , Criança , Pré-Escolar , Terapia Combinada , Crioterapia , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Fotocoagulação a Laser , Masculino , Radioterapia , Neoplasias da Retina/terapia , Retinoblastoma/terapia , Trietilenomelamina/uso terapêutico , Testes de Campo VisualAssuntos
Neoplasias/enfermagem , Enfermagem Oncológica/organização & administração , Doenças Raras/enfermagem , Adolescente , Idoso , Idoso de 80 Anos ou mais , Medicina Baseada em Evidências , Feminino , Humanos , Serviços de Informação , Internet , Masculino , Neoplasias/psicologia , Papel do Profissional de Enfermagem , Enfermagem Oncológica/educação , Planejamento de Assistência ao Paciente , Doenças Raras/psicologiaRESUMO
From 10%-15% of nurses will abuse alcohol during their professional careers. Oncology nurses may use alcohol to mask the stress they experience when caring for patients with cancer. This article will address strategies and support mechanisms for nurses who have issues with alcohol abuse.