Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study
Yıl: 2021 Cilt: 36 Sayı: 1 Sayfa Aralığı: 1 - 7 Metin Dili: İngilizce DOI: 10.5505/tjo.2020.2285 İndeks Tarihi: 12-05-2022
Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study
Öz: OBJECTIVE To evaluate the communication between relatives and the doctors of patients with cancer treated in the radiation oncology department using a questionnaire composed of two sections. METHODS Relatives of 168 patients were selected through simple randomization after having obtained informed consent from the patients. A questionnaire form, which was developed based on the patient-physician communication scale, which had the sub-dimensions of information, empathy and confidence and included questions regarding socio-demographic data, and which used a Likert-type scale, was applied. Statistical analyses were performed using the Mann-Whitney U test and the Kruskal Wallis test. RESULTS A statistically significant difference was determined in the information and empathy sub-dimensions concerning the gender and the education level of the relatives (p=0.03, p=0.01, p=0.001) and the frequency of seeing the doctor and the doctor’s tolerance (p=0.007, p=0.02); in the confidence possession sub-dimension, a difference was found between the age groups of the relatives and the tumor groups of the patients (p=0.039, p=0.002), duration of seeing the doctor and talking with the doctor (p=0.004, p=0.009), between the relatives’ praying and all sub-dimensions (p=0.009, p<0.0001); in the information sub-dimension, a difference was found with regard to the duration of therapy (p=0.03). It was also determined that all relatives wished to obtain correct information and have confidence in the doctor. CONCLUSION The results show the expectations and the content of information, empathy and confidence sub-dimensions of the communication process between relatives and the doctors of the patients. Keywords: Communication skills; relatives of patients with cancer.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Jaffray DA, Gospodarowicz MK. Radiation Therapy for Cancer. In: Gelband H, Jha P, Sankaranarayanan R, Horton S, editors. Cancer: Disease Control Priorities. Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015. Chapter 14.
- 2. Barton MB, Jacob S, Shafiq J, Wong K, Thompson SR, Hanna TP, et al. Estimating the demand for radiotherapy from the evidence: a review of changes from 2003 to 2012. Radiother Oncol 2014;112(1):140–4.
- 3. Innes S, Payne S. Advanced cancer patients’ prognostic information preferences: a review. Palliat Med 2009;23(1):29–39.
- 4. Mackenzie LJ, Sanson-Fisher RW, Carey ML, D’Este CA. Radiation oncology outpatient perceptions of patient-centred care: a cross-sectional survey. BMJ Open 2013;3(2):e001265.
- 5. Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH. Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol 2005;16(7):1005–53.
- 6. Martin EJ, Rich SE, Jones JA, Dharmarajan KV. Communication skill frameworks: applications in radiation oncology. Ann Palliat Med 2019;8(3):293–304. 7. Mackenzie LJ, Carey ML, Suzuki E, Sanson-Fisher RW, Asada H, Ogura M, et al. Agreement between patients’ and radiation oncologists’ cancer diagnosis and prognosis perceptions: A cross sectional study in Japan. PLoS One 2018;13(6):e0198437.
- 8. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ 1995;152(9):1423–33.
- 9. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J. The impact of patient-centered care on outcomes. J Fam Pract 2000;49(9):796–804.
- 10.Griffin SJ, Kinmonth AL, Veltman MW, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med 2004;2(6):595–608.
- 11.Delvaux N, Merckaert I, Marchal S, Libert Y, Conradt S, Boniver J, et al. Physicians’ communication with a cancer patient and a relative: a randomized study assessing the efficacy of consolidation workshops. Cancer. 2005;103(11):2397–411.
- 12.Mack JW, Ilowite M, Taddei S. Difficult relationships between parents and physicians of children with cancer: A qualitative study of parent and physician perspectives. Cancer 2017;123(4):675–81.
- 13.Orri M, Sibeoni J, Bousquet G, Labey M, Gueguen J, Laporte C, et al. Crossing the perspectives of patients, families, and physicians on cancer treatment: A qualitative study. Oncotarget 2017;8(13):22113–22.
- 14.Tates K, Meeuwesen L. Doctor-parent-child communication. A (re)view of the literature. Soc Sci Med 2001;52(6):839–51.
- 15.Neumann M, Wirtz M, Bollschweiler E, Mercer SW, Warm M, Wolf J, et al. Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach. Patient Educ Couns 2007;69(1-3):63–75.
- 16.Oksüzoğlu B, Abali H, Bakar M, Yildirim N, Zengin N. Disclosure of cancer diagnosis to patients and their relatives in Turkey: views of accompanying persons and influential factors in reaching those views. Tumori 2006;92(1):62–6.
- 17.Curtis JR, Engelberg RA, Nielsen EL, Au DH, Patrick DL. Patient-physician communication about end-oflife care for patients with severe COPD. Eur Respir J 2004;24(2):200–5.
- 18.Cicekci F, Duran N, Ayhan B, Arican S, Ilban O, Kara I, et al. The communication between patient relatives and physicians in intensive care units. BMC Anesthesiol 2017;17(1):97.
- 19.Schwartz KL, Roe T, Northrup J, Meza J, Seifeldin R, Neale AV. Family medicine patients’ use of the Internet for health information: a MetroNet study. J Am Board Fam Med 2006;19(1):39–45.
- 20.Kim J, Kim S. Physicians’ perception of the effects of Internet health information on the doctor-patient relationship. Inform Health Soc Care 2009;34(3):136–48.
- 21.Murray E, Lo B, Pollack L, Donelan K, Catania J, Lee K, et al. The impact of health information on the Internet on health care and the physician-patient relationship: national U.S. survey among 1.050 U.S. physicians. J Med Internet Res 2003;5(3):e17.
- 22.Helft PR, Hlubocky F, Daugherty CK. American oncologists’ views of internet use by cancer patients: a mail survey of American Society of Clinical Oncology members. J Clin Oncol 2003;21(5):942–7.
- 23.Yalçin A, Silay K, Büyükçelik A, Işikdoğan A, Türk HM, Coşkun HŞ, et al. Opinions of the Turkish population on cancer and being informed of the diagnosis of cancer. Turk J Med Sci 2015;45(2):387–92.
- 24.Kazdaglis GA, Arnaoutoglou C, Karypidis D, Memekidou G, Spanos G, Papadopoulos O. Disclosing the truth to terminal cancer patients: a discussion of ethical and cultural issues. East Mediterr Health J 2010;16(4):442–7.
- 25.Ha JF, Longnecker N. Doctor-patient communication: a review. Ochsner J 2010;10(1):38–43.
- 26.Fujimori M, Uchitomi Y. Preferences of cancer patients regarding communication of bad news: a systematic literature review. Jpn J Clin Oncol 2009;39(4):201–16.
- 27.Hunsucker SC, Frank DI, Flannery J. Meeting the needs of rural families during critical illness: the APN’s role. Dimens Crit Care Nurs 1999;18(3):24–32. 28.Fassier T, Darmon M, Laplace C, Chevret S, Schlemmer B, Pochard F, et al. One-day quantitative cross-sectional study of family information time in 90 intensive care units in France. Crit Care Med 2007;35(1):177–83.
- 29.Leung KK, Chien WT, Mackenzie AE. Needs of Chinese families of critically ill patients. West J Nurs Res 2000;22(7):826–40.
- 30.Learning objectives for medical student education-- guidelines for medical schools: report I of the Medical School Objectives Project. Acad Med 1999;74(1):13–8.
- 31.Price S, Mercer SW, MacPherson H. Practitioner empathy, patient enablement and health outcomes: a prospective study of acupuncture patients. Patient Educ Couns 2006;63(1-2):239–45.
| APA | ALSAN ÇETIN I, Akay s, Uçum M, NOHUT A, Kaya M, Kara İ, Ulu A (2021). Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. , 1 - 7. 10.5505/tjo.2020.2285 |
| Chicago | ALSAN ÇETIN ILKNUR,Akay sıtkı Utku,Uçum Mehmet Faruk,NOHUT Ahmet Raşit,Kaya Muhammed İkbal,Kara İbrahim,Ulu Ahmet Abdurrahman Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. (2021): 1 - 7. 10.5505/tjo.2020.2285 |
| MLA | ALSAN ÇETIN ILKNUR,Akay sıtkı Utku,Uçum Mehmet Faruk,NOHUT Ahmet Raşit,Kaya Muhammed İkbal,Kara İbrahim,Ulu Ahmet Abdurrahman Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. , 2021, ss.1 - 7. 10.5505/tjo.2020.2285 |
| AMA | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. . 2021; 1 - 7. 10.5505/tjo.2020.2285 |
| Vancouver | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. . 2021; 1 - 7. 10.5505/tjo.2020.2285 |
| IEEE | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A "Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study." , ss.1 - 7, 2021. 10.5505/tjo.2020.2285 |
| ISNAD | ALSAN ÇETIN, ILKNUR vd. "Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study". (2021), 1-7. https://doi.org/10.5505/tjo.2020.2285 |
| APA | ALSAN ÇETIN I, Akay s, Uçum M, NOHUT A, Kaya M, Kara İ, Ulu A (2021). Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. Türk Onkoloji Dergisi, 36(1), 1 - 7. 10.5505/tjo.2020.2285 |
| Chicago | ALSAN ÇETIN ILKNUR,Akay sıtkı Utku,Uçum Mehmet Faruk,NOHUT Ahmet Raşit,Kaya Muhammed İkbal,Kara İbrahim,Ulu Ahmet Abdurrahman Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. Türk Onkoloji Dergisi 36, no.1 (2021): 1 - 7. 10.5505/tjo.2020.2285 |
| MLA | ALSAN ÇETIN ILKNUR,Akay sıtkı Utku,Uçum Mehmet Faruk,NOHUT Ahmet Raşit,Kaya Muhammed İkbal,Kara İbrahim,Ulu Ahmet Abdurrahman Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. Türk Onkoloji Dergisi, vol.36, no.1, 2021, ss.1 - 7. 10.5505/tjo.2020.2285 |
| AMA | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. Türk Onkoloji Dergisi. 2021; 36(1): 1 - 7. 10.5505/tjo.2020.2285 |
| Vancouver | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study. Türk Onkoloji Dergisi. 2021; 36(1): 1 - 7. 10.5505/tjo.2020.2285 |
| IEEE | ALSAN ÇETIN I,Akay s,Uçum M,NOHUT A,Kaya M,Kara İ,Ulu A "Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study." Türk Onkoloji Dergisi, 36, ss.1 - 7, 2021. 10.5505/tjo.2020.2285 |
| ISNAD | ALSAN ÇETIN, ILKNUR vd. "Communication Skills between the Relatives and the Doctors of Patients with Cancer Treated in Radiation Oncology: A Cross-sectional Questionnaire Study". Türk Onkoloji Dergisi 36/1 (2021), 1-7. https://doi.org/10.5505/tjo.2020.2285 |
