[A study of integrated nursing].
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Consumer Behavior↗
Biomedical subjects
E Molleman
Publications and source records attributed to E Molleman.
Social comparison processes among cancer patients.
This study focuses on two problems of cancer patients: uncertainty and anxiety. The significance of fellow-patients in coping with uncertainty and anxiety was studied by means of a questionnaire which was completed by 418 patients. The results show that patients who experience uncertainty prefer to address themselves to experts for information. The need for social comparison with fellow-patients increases as information available from experts diminishes. For social comparison patients prefer fellow-patients perceived as equals because they are perceived as most informative. Furthermore, it appears that patients who perceive others as instrumental in reducing uncertainty show a greater need for social comparison as uncertainty increases. Fellow-patients are generally perceived as more informative as more uncertainty is experienced. With increasing anxiety the significance of fellow-patients for evaluation of this anxiety proves to increase. Only at a very high level of anxiety does this significance diminish greatly, presumably because the interaction has negative affective consequences.
Adult↗
The significance of the doctor-patient relationship in coping with cancer.
The uncertainty and anxiety experienced by cancer patients and their ways of coping with uncertainty and anxiety were studied on the basis of a questionnaire completed by 418 patients. The study shows that 28.2% of the patients had a low and 33.5% had a high uncertainty score, while 50% had a low and 9% had a high anxiety score. Four ways of coping with uncertainty and anxiety can be distinguished, of which the use of self-instruction means was most common. Expert help proved to be important for reduction of uncertainty. For reduction of anxiety the support of the home environment and of fellow-patients was also of importance. The implications of these findings for the doctor's performance and for the care of cancer patients are discussed.
Adaptation, Psychological↗