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De zorg voor mannen met prostaatkanker in het ziekenhuis: tevredenheid van patiënten met de behandeling, informatie en emotionele steun.

Fischer, M.J., Voerman, B., Visser, A.P., Garssen, B., Andel, G. van, Bensing, J. De zorg voor mannen met prostaatkanker in het ziekenhuis: tevredenheid van patiënten met de behandeling, informatie en emotionele steun. TSG: Tijdschrift voor Gezondheidswetenschappen: 2006, 84(1), 43-49
This study aims to assess Dutch prostate cancer patients' satisfaction with medical treatment, information and emotional support provided in hospital. Two hundred and thirty-eight men with prostate cancer were asked to rate several aspects of hospital care. Relationship between satisfaction and sociodemographic variables (age, socio-economic status, marital status), medical variables (treatment type, years since diagnosis, PSA level, metastases), psychosocial functioning and patients' search for additional support were investigated. Nine out of ten patients rated their medical treatment at least 'satisfactory'. Men were somewhat less satisfied with information provision and differences were found between judgements of respondents recruited in hospitals and members of the patients' association. How and where to receive additional psychosocial support was, according to patients', often not discussed. Emotional support is judged as least positive. More than twenty percent of the patients were not satisfied with the support they had received in hospital. No relationship was found between satisfaction and sociodemographic and medical variables. Satisfaction with information provision turned out to be predictive for seeking additional support. If one aims to involve the patient in the process of medical care and decision making, the patient
needs to be well informed about treatment options and possible outcomes of treatment. The unpredictable course of the disease, the negative consequences of treatment (even in a 'wait and see' approach) and the difficult task of making a decision, indicate that medical specialists should be concerned with emotional consequences for the patients.Thus, the results of our study indicate that most room for improvement in hospital care for prostate cancer patients lies within the psychosocial domain. (aut.ref.)