The influence of a department's psychosocial climate and treatment environment on cancer patients' anxiety during radiotherapy

Autor: Björn Zackrisson, Kristina Olausson, Lena Sharp, Tara Mullaney, Tufve Nyholm, David Edvardsson
Rok vydání: 2016
Předmět:
Patient experience
Male
medicine.medical_specialty
Patients
genetic structures
Person-centered care STAI
Attitude of Health Personnel
Health Personnel
medicine.medical_treatment
Person-centered care
Nursing
Anxiety
03 medical and health sciences
0302 clinical medicine
Quality of life
Neoplasms
Oncology Service
Hospital
Patient-Centered Care
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
Treatment experience
Psychiatry
Aged
Sweden
Radiotherapy
Oncology (nursing)
business.industry
Omvårdnad
Cancer
General Medicine
Middle Aged
medicine.disease
Anxiety Disorders
Organizational Culture
Treatment environment
Radiation therapy
PCQ
030220 oncology & carcinogenesis
Quality of Life
Female
medicine.symptom
business
Psychosocial
psychological phenomena and processes
Clinical psychology
Zdroj: European Journal of Oncology Nursing. 20:113-118
ISSN: 1462-3889
DOI: 10.1016/j.ejon.2015.06.009
Popis: PURPOSE: The objective of this study is to determine whether there is a relationship between cancer patients' perceptions of the person-centeredness of their treatment experience and their anxiety levels during treatment. METHOD: A questionnaire was distributed to adult cancer patients going through external beam radiotherapy (RT) with curative intent at a university hospital in Sweden (n = 892), which included two surveys, the State Trait Anxiety Inventory-state specific questions (STAI-S), and the Patient-centered Climate Questionnaire (PCQ) and additional treatment-specific questions. Eligible patients were provided with the questionnaire on their seventh day of RT by an RT-nurse. RESULTS: Statistical analysis showed a significant negative relationship between STAI-S scores and PCQ scores, and a significant positive relationship between the Treatment Environment questions and the STAI-S scores. Multivariate regression modeling found the PCQ subscale of safety to have the strongest negative association with STAI-S scores, showing that a climate of safety can significantly decrease patient situational anxiety levels. On the other hand, difficulty tolerating the overall treatment experience, worry about the treatment equipment, or feelings of isolation or claustrophobia within the treatment room all significantly factor into increases in patient-reported situational anxiety levels. CONCLUSION: Both the treatment environment and the psychosocial climate of the RT clinic significantly impact cancer patient state anxiety levels. These findings suggest that actively employing a person-centered approach during RT, and designing the treatment environment to be more attentive to the patient experience can both play a significant role in decreasing patient situational anxiety during treatment.
Databáze: OpenAIRE
Externí odkaz: