Universität zu Köln

Ernstmann, Nicole ORCID: 0000-0001-7685-6110, Wirtz, Markus, Nitzsche, Anika, Gross, Sophie E., Ansmann, Lena ORCID: 0000-0002-8628-7166, Gloede, Tristan D., Jung, Julia, Pfaff, Holger ORCID: 0000-0001-9154-6575, Baumann, Walter, Schmitz, Stephan and Neumann, Melanie (2017). Patients' Trust in Physician, Patient Enablement, and Health-Related Quality of Life During Colon Cancer Treatment. J. Cancer Educ., 32 (3). S. 571 - 580. NEW YORK: SPRINGER. ISSN 1543-0154

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Abstract

In cancer care, where patients and their families experience significant emotional distress and patients have to deal with complex medical information, patient centeredness is an important aspect of quality of care. The aim of this study is to examine the impact of patients' trust in their oncologists and patients' enablement on changes in health-related quality of life of colon cancer patients during follow-up care. We conducted a prospective study in a representative sample of private practices of German oncologists (N = 44). Patients (N = 131) filled out a standardized questionnaire prior to their first consultation (T0), directly after the first consultation (T1) and after two months (T2). Data were analyzed by structural equation modeling. Significant associations were found between trust in physician and changes in physical functioning between T1 and T2, and between trust in physician and patient enablement. Patient enablement is significantly associated with changes in physical functioning between T1 and T2. The results underline the importance of building a close and trustful patient-physician relationship in the oncology encounter. A central mechanism of the association between the quality of the relationship and health outcomes seems to be patient enablement. To enable patients to cope with their situation by making them understand their diagnosis, treatments, and side effects can impact health-related quality of life in physical domains.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ernstmann, Nicole UNSPECIFIED orcid.org/0000-0001-7685-6110 UNSPECIFIED Wirtz, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Nitzsche, Anika UNSPECIFIED UNSPECIFIED UNSPECIFIED Gross, Sophie E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ansmann, Lena UNSPECIFIED orcid.org/0000-0002-8628-7166 UNSPECIFIED Gloede, Tristan D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jung, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Baumann, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Neumann, Melanie UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-221143
DOI:	10.1007/s13187-017-1166-y
Journal or Publication Title:	J. Cancer Educ.
Volume:	32
Number:	3
Page Range:	S. 571 - 580
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1543-0154
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COMMUNICATION; ONCOLOGY; EMPATHY; CARE; MODEL; INSTRUMENT; OUTCOMES Multiple languages Oncology; Education, Scientific Disciplines; Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22114