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首页> 外文期刊>Journal of health communication >The Role of Health Care Provider and Partner Decisional Support in Patients' Cancer Treatment Decision-Making Satisfaction
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The Role of Health Care Provider and Partner Decisional Support in Patients' Cancer Treatment Decision-Making Satisfaction

机译：医疗保健提供者的作用和伴侣对患者癌症治疗决策满意度的作用

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Cancer patients rely on multiple sources of support when making treatment decisions; however, most research studies examine the influence of health care provider support while the influence of family member support is understudied. The current study fills this gap by examining the influence of health care providers and partners on decision-making satisfaction. In a cross-sectional study via an online Qualtrics panel, we surveyed cancer patients who reported that they had a spouse or romantic partner when making cancer treatment decisions (n=479). Decisional support was measured using 5-point, single-item scales for emotional support, informational support, informational-advice support, and appraisal support. Decision-making satisfaction was measured using Holmes-Rovner and colleagues' (1996) Satisfaction With Decision Scale. We conducted a mediated regression analysis to examine treatment decision-making satisfaction for all participants and a moderated mediation analysis to examine treatment satisfaction among those patients offered a clinical trial. Results indicated that partner support significantly and partially mediated the relationship between health care provider support and patients' decision-making satisfaction but that results did not vary by enrollment in a clinical trial. This study shows how and why decisional support from partners affects communication between health care providers and cancer patients.
机译：癌症患者依赖于制定治疗决策时的多种支持源;然而，大多数研究研究审查了医疗保健提供者支持的影响，同时被解读了家庭成员支持的影响。目前的研究通过检查医疗保健提供者和合作伙伴对决策满意度的影响来填补这种差距。在通过在线音质面板的横截面研究中，我们调查了癌症患者，据报道，在制作癌症治疗决策时患有配偶或浪漫伴侣（n = 479）。使用5点，单一项目尺度来测量果断支持，用于情绪支持，信息支持，信息咨询支持和评估支持。使用福尔摩斯 - 罗维纳和同事（1996）与决策规模的满意度来衡量决策满意度。我们进行了一个介导的回归分析，以检查所有参与者的治疗决策，并进行调节调解分析，以检查这些患者的治疗满意度是否提供临床试验。结果表明，合作伙伴支持显着，部分地介绍了医疗保健提供者支持与患者的决策满意度之间的关系，但结果并没有因临床试验中的入学而变化。本研究显示了如何以及为什么伙伴的抵抗支持影响卫生提供者和癌症患者之间的沟通。

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