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Information Needs of Cancer Patients are Influenced by Time Since Diagnosis, Stage of Cancer, Patients’ Age, and Preferred Role in Treatment-related Decisions

机译:诊断以来的时间,癌症的分期,患者的年龄以及在治疗相关决策中的首选作用会影响癌症患者的信息需求

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A review of: Kalyani, Ankem. “Factors Influencing Information Needs Among Cancer Patients: A Meta-Analysis.” Library & Information Science Research; 28.1 (2006) 7-23. Objective – The author aims to study the aggregate influence of demographic and situational variables on the information needs of cancer patients, in order to inform the provision of information to those patients. Design – Meta-analysis. Setting – Research articles published in the MEDLINE and CINAHL databases. Subjects – English language studies published between 1993 and 2003. An initial search set of 196 studies from MEDLINE and 283 studies from CINAHL were identified. Following rigorous assessment, 12 studies met the inclusion criteria. Methods – A comprehensive search of the databases was conducted, initially combining “neoplasm” with “cancer patients” using the Boolean “or”. These results were then combined with five separate searches using the following terms; information need(s), information seeking, information seeking behaviour, information source(s) and information resource(s). This identified in total 479 English language articles. Based on a review of titles and abstracts, 110 articles were found covering information resources or the information needs of cancer patients. These articles were then subjected to the further inclusion criteria and limited to studies which included: analysis of information needs and/or information sources of cancer patients; adults as subjects of the research; and application of quantitative research methods and relevant statistics. This eliminated a further 35 papers. Twelve of the remaining 75 studies were selected for meta-analysis based on their use of the same variables measured consistently in comparable units. The final 12 studies included various forms of cancer, and no distinction was made among them. All 12 studies appeared in peer-reviewed journals. Main results – The meta-analysis found there was consistently no difference between the information needs of men and women. Five subsets were identified within the meta-analysis, and findings for each can be stated as follows: The younger the age of the patient, the greater their overall need for information was likely to be. During treatment, the time elapsed from the diagnosis to the information need was not significant. Once identified, the information need remained constant. During treatment and post-treatment phases, the time elapsed from the diagnosis to the information need made no significant difference, with the information need remaining constant and continuing into the post-treatment phase. The stage of cancer made no difference to the need for information. Those patients in the advanced stages of cancer required an equal amount of information to those in the early stages of cancer. The individual patient’s preferred role in treatment-related decisions made a difference to the information need. Patients who took an active role in treatment-related decisions had a greater need for information than those who did not take an active role. Conclusion – Findings from this meta-analysis can be used to guide information provision to cancer patients, specifically taking patient age and preferred role in treatment decision-making into consideration. Further research into the reasons behind the lower information needs among older patients is called for by the author.
机译:评论:Kalyani,Ankem。 “影响癌症患者信息需求的因素:一项荟萃分析。”图书馆与情报科学研究; 28.1(2006)7-23。目的–作者旨在研究人口统计和情境变量对癌症患者信息需求的总体影响,以便为这些患者提供信息。设计–荟萃分析。设置–在MEDLINE和CINAHL数据库中发表的研究文章。主题– 1993年至2003年之间发布的英语语言研究。初步搜索了MEDLINE的196项研究和CINAHL的283项研究。经过严格评估,有12项研究符合纳入标准。方法–对数据库进行了全面搜索,首先使用布尔值“或”将“肿瘤”与“癌症患者”组合在一起。然后,使用以下字词将这些结果与五个单独的搜索结果合并;信息需求,信息搜索,信息搜索行为,信息源和信息资源。在总共479篇英语文章中被确定。根据标题和摘要的审查,发现110篇文章涵盖了癌症患者的信息资源或信息需求。这些文章随后要接受进一步的纳入标准,并仅限于以下研究:癌症患者的信息需求和/或信息来源分析;成人为研究对象;定量研究方法和相关统计数据的应用。这消除了另外35篇论文。其余75项研究中有12项基于对相同变量的使用(以可比单位一致地衡量),被选择进行荟萃分析。最后的12项研究包括各种形式的癌症,并且未对它们进行区分。所有12项研究均出现在同行评审期刊上。主要结果–荟萃分析发现,男性和女性的信息需求之间始终没有区别。在荟萃分析中确定了五个子集,每个子​​集的发现可以说明如下:患者年龄越小,他们对信息的总体需求就越大。在治疗期间,从诊断到需要信息所花费的时间并不多。一旦确定,信息需求就保持不变。在治疗和治疗后阶段,从诊断到信息需要花费的时间没有显着差异,信息需要保持恒定并持续到治疗后阶段。癌症的阶段对信息的需求没有影响。那些处于癌症晚期的患者所需的信息量与那些处于癌症早期的患者相同。个体患者在治疗相关决策中的首选角色改变了信息需求。与未积极参与治疗的患者相比,积极参与治疗相关决策的患者对信息的需求更大。结论–该荟萃分析的发现可用于指导癌症患者的信息提供,特别是考虑患者的年龄和在治疗决策中的优先作用。作者要求对老年患者信息需求较低的背后原因进行进一步研究。

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