Cancer patients' expressions of emotional cues and concerns and oncology nurses' responses, in an online patient-nurse communication service

被引：22

作者：

Grimsbo, Gro Hjelmeland ^{[1
]}

Ruland, Cornelia M. ^{[1
,3
]}

Finset, Arnstein ^{[2
]}

机构：

[1] Univ Oslo, Rikshosp, Ctr Shared Decis Making & Collaborat Care, Fac Med,Oslo Univ Hosp,Inst Clin Med, N-0027 Oslo, Norway

[2] Univ Oslo, Inst Basic Med Sci, Dept Behav Sci, Fac Med, Oslo, Norway

[3] Univ Oslo, Inst Clin Med, Fac Med, Oslo, Norway

来源：

PATIENT EDUCATION AND COUNSELING | 2012年 / 88卷 / 01期

关键词：

Cancer; E-mail communication; Emotions; Cues; Concerns; Oncology nurses; VERONA CODING DEFINITIONS; E-MAIL; PROSTATE-CANCER; MEDICAL CONSULTATIONS; DISTRESS; EXPERIENCES; DISCLOSURE; PHYSICIANS; SUPPORT; IMPACT;

D O I：

10.1016/j.pec.2012.01.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To (1) investigate emotional cues and concerns (C & C) of cancer patients expressed in e-mail communication with oncology nurses in an online patient-nurse communication service (OPNC), and (2) explore how nurses responded to patients' C & C. Methods: 283 e-messages sent from 38 breast and 22 prostate cancer patients and 286 e-responses from five oncology nurses were coded with the Verona Coding Definitions of Emotional Sequences. Results: We identified 102 cues and 33 concerns expressed in patients' messages. Cues indicating expression of uncertainty or hope, occurred most frequently (in 38.5% of messages), followed by concerns (in 24.4% of messages). Nurses responded to 85.2% of patients' C & Cs; more than half of patients' C & Cs were met with a mixture of information giving and empathic responses. Conclusion: Patients with breast and prostate cancer express many C & C in e-mail communications with oncology nurses, who demonstrated satisfactory sensitivity to patients' emotions in their responses to patients. Practice implications: Offering e-communication with oncology nurses to cancer patients is a promising and feasible supplement to usual care to address and relieve patients' concerns and emotional distress during illness and recovery. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

引用

页码：36 / 43

页数：8

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