A study on the construction of communication strategies for informing patients with advanced cancer
10.3760/cma.j.cn211501-20230906-00484
- VernacularTitle:基于沟通模型的晚期癌症患者病情告知策略的构建研究
- Author:
Yutong LIU
1
;
Zhenqi LU
;
Xiaoju ZHANG
;
Zhe HUANG
Author Information
1. 复旦大学附属肿瘤医院护理部 复旦大学上海医学院肿瘤学系，上海 200032
- Keywords:
Strategy, experimental;
Advanced cancer;
Palliative care;
Doctor-patient communication;
Policy building
- From:
Chinese Journal of Practical Nursing
2024;40(13):1000-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a communication strategy and implementation method for advanced cancer patients based on two communication models widely used at home and abroad, so as to reduce the difficulty of clinical disease notification.Methods:From January to October 2022, based on the communication model of SPIKES (Setting, Perception, Invitation, Knowledge, Empathy, Summary) and NURSE(Name, Understand, Respect, Support, Explore), combined with literature analysis, qualitative interviews, and expert argumentation, the communication strategy items of advanced cancer patients were constructed.Results:A total of 18 articles were included in the literature analysis. Qualitative interviews were conducted with 20 interviewees (including 4 doctors, 11 nurses, and 5 patients),6 males, 14 females, aged (35.94 ± 8.03) years old. A total of 8 experts participated in the demonstration, 2 males and 6 females, aged (41.88 ± 6.58) years old. Finally, the specific items and words of the disease notification process and communication strategies of advanced cancer patients in line with China ′s clinical practice were constructed. A total of 3 first-level items, 16 second-level items, 53 third-level items, and speech techniques were constructed, including pre-communication preparation, regular communication strategies, and poor communication disposal strategies. The importance score of the item was 4.50 to 5.00, and the coefficient of variation of the item was 0 to 0.12. Conclusions:The communication strategy of advanced cancer patients based on the communication model is scientific and feasible, and can be used as a tool to inform advanced cancer patients.
