Chemotherapy patient perception regarding communication with the healthcare staff


Autoria(s): Bittencourt Romeiro, Fernanda; Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brazil; Peuker, Ana Carolina; Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brazil; Bianchini, Daniela; Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brazil; Kern de Castro, Elisa; Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, Brazil
Data(s)

14/06/2016

Resumo

Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment.

Objetivo: explorar cualitativamente la comunicación entre profesionales sanitarios y pacientes con cáncer a partir de la percepción de los pacientes en tratamiento de quimioterapia.Método: diseño cualitativo y exploratorio. Participantes fueron 14 pacientes adultos con cáncer en quimioterapia en diferentes fases de la enfermedad. Los instrumentos utilizados fueron un protocolo de dato sociodemográficos y clínicos y una entrevista semi-estructurada. Las entrevistas fueron grabadas, transcritas, y fue realizado análisis de contenido. Dos jueces independientes evaluaron el contenido de las entrevistas a partir de las categorías que aparecieron, y fue calculado el índice Kappa de 0,834.Resultados: Tres categorías fueron creadas a partir de los datos: 1) Comunicación técnica sin apoyo emocional, cuando la información dada es compuesta de forma estricta a las informaciones técnicas del diagnóstico, tratamiento y/o pronóstico; 2) Comunicación técnica, cuando la información está orientada a los aspectos técnicos de la condición física del paciente, mientras también es ofrecido apoyo emocional de acuerdo con las necesidades de los pacientes; y 3) Comunicación técnica insuficiente, cuando hay problemas en la información ofrecida y que causa confusión y sufrimiento al paciente.Conclusiones: comunicación con apoyo emocional contribuye para aumentar la satisfacción de pacientes en quimioterapia. Implicaciones practicas: los resultados fornecen elementos para la capacitación de profesionales sanitarios relacionados a la importancia del apoyo emocional que puede ser ofrecido a pacientes con cáncer durante su tratamiento.

Formato

application/pdf

Identificador

http://revistas.ucm.es/index.php/PSIC/article/view/52493

10.5209/rev_PSIC.2016.v13.n1.52493

Publicador

Asociación de Psicooncología de Madrid

Relação

http://revistas.ucm.es/index.php/PSIC/article/view/52493/48299

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Fonte

Psicooncología; Vol 13, No 1 (2016); 139-150

Palavras-Chave #Oncology; communication; health provider-patient relationship. #Oncología; comunicación; relación profesional sanitario-paciente.
Tipo

info:eu-repo/semantics/article

Artículo revisado por pares

info:eu-repo/semantics/publishedVersion