Click here to download

La riabilitazione oncologica: qualità della cura e benessere psicologico del paziente
Journal Title: SALUTE E SOCIETÀ 
Author/s:  Nadia Rania, Laura Migliorini, Anna Zunino, Patrizia Bianchetti, Maria Giuseppina Vidili, Donatella Cavanna 
Year:  2015 Issue: Language: Italian 
Pages:  14 Pg. 60-73 FullText PDF:  82 KB
DOI:  10.3280/SES2015-002005
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 

This paper discusses the results of a research on the well-being and health care quality in Rehabilitation Oncology. Oncological diseases are a stressful experience, but also they can trigger positive changes in the individual, leading to a modification of self and subjective well-being. Literature shows that these aspects of post-traumatic growth depend to some extent on the level of satisfaction with the quality of care received, conceptualized as the clarity of information received and the perception of being heard within the relationships of a caring nature. The aim of this paper is to highlight efficacy, levels of satisfaction with the treatment and psychological well-being of a group of cancer patients in a Physiotherapy unit. The rehabilitation stage is a key step in the transition from illness to health and therefore it is of particular relevance. The Physical Therapist takes on a fundamental role in the rehabilitation process, carrying out therapeutic interventions involving a physical dimension as well as a physical contact with the patient. The present study was conducted in a North Italian hospital and involved 50 subjects. The results show high satisfaction for the rehabilitation treatment received. These findings are strengthened by a shared view on the effectiveness of therapy: health care professionals expressed, on one hand, a positive assessment on the functional recovery of patients and, on the other hand, patients reported a high degree of psychological well-being and a perceived high efficacy of the treatment.
Keywords: Cancer, rehabilitation oncology, health care quality, psychological well-being, operator-patient relationship, post traumatic growth

  1. Annunziata M.A., Muzzatti B., Bianchet K., Berretta M., Chimienti E., Lleshi A., Tirelli U. (2009). Sopravvivere al cancro: una rassegna sulla Qualità di Vita nella cancer survivorship. Psicologia della Salute, 3: 55-71
  2. Atkinson M.J., Sinha A., Hass S.L. (2004). Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of cronic disease. Health Quality Life Outcome, 2(12): 913-925., DOI: 10.1186/1477-7525-2-1
  3. Bertini M. (2012). Psicologia della salute. Milano: Raffaello Cortina
  4. Bettencourt B.A., Molix L., Talley A.E., Westgate S. (2007). Satisfaction with health care, psychological adjustment, and community esteem among breast cancer survivors. J Psychosoc Oncol., 25(2): 59-75., DOI: 10.1300/j077v25n02_0
  5. Braibanti P., Strappa V., Zunino A. (2009). Psicologia sociale e promozione della salute. Milano: FrancoAngeli
  6. Carboon I., Anderson V.A., Pollard A., Szer J., Seymour J.F. (2005). Posttraumatic growth following a cancer diagnosis: do world assumptions contribute? Traumatology, 11(4): 269-283., DOI: 10.1177/153476560832033
  7. Carver C.S., Antoni M.H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5-8 years after diagnosis. Health Psychology, 23: 595-598., DOI: 10.1037/0278-6133.23.6.59
  8. Casserley-Feeney S.N., Phelan M., Duffy F., Roush S., Cairns M.C., Hurley D.A. (2008). Patient satisfaction with private physiotherapy for musculoskeletal pain. BMC Musculoskeletal Disorders, 9: 50., DOI: 10.1186/1471-2474-9-5
  9. Cebeci F., Yangın H.B., Tekeli A. (2012). Life experiences of women with breast cancer in south western Turkey: A qualitative study. European Journal of Oncology Nursing, 16: 406-412., DOI: 10.1016/j.ejon.2011.09.00
  10. Charalambous A. (2013). Variations in patient satisfaction with care for breast, lung, head and neck and prostate cancers in different cancer care settings. European Journal of Oncology Nursing, 1-8., DOI: 10.1016/j.ejon.2013.01.00
  11. Cordova M.J., Giese-Davis J., Golant M., Kronenwetter C., Chang V., Spiegel D. (2007). Breast cancer as a trauma: post-traumatic stress and post-traumatic growth. Journal of Clinical Psychology in Medical Settings, 14: 308-319., DOI: 10.1007/s10880-007-9083-
  12. De Santi A.M., Simeoni I. (2010). Il medico, il paziente e i familiari. Guida alla comunicazione efficace. Torino: SEED
  13. Flocke S.A., Miller W.L., Crabtree B.F. (2002). Relationships between physician practice style, patient satisfaction, and attributes of primary care. Journal of Family Practice, 51: 120-123
  14. Gadamer H.G. (1993). Uber die Verborgenheit der gesundheit. Frankfurt am Mein: Suhrkamp Verlag (trad. it.: Dove si nasconde la salute. Milano: Raffaello Cortina, 1994)
  15. Gualdi G., Ghinelli C. (2011). I gruppi per le donne operate al seno: una ricerca qualitativa sull’iniziativa “Arcobaleno” del Centro Oncologico Modenese. Psicologia della Salute, 3: 91-111
  16. Helgeson V.S., Reynold K.A., Tomich, P.L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5): 797-816., DOI: 10.1037/0022-006X.74.5.797HoffmanC.J.,ErsserS.J.,HopkinsonJ.B.(2012).Mindfulness-basedstressreductioninbreastcancer:Aqualitativeanalysis.ComplementaryTherapiesinClinicalPractice,1:221-226.DOI:10.1016/j.ctcp.2012.06.00
  17. Kucukkaya P.G. (2010). An exploratory study of positive life changes in Turkish women diagnosed with breast cancer. European Journal of Oncology Nursing, 14: 166-173., DOI: 10.1016/j.ejon.2009.10.00
  18. Laezza A., Tarenghi G. (2005). La tutela del benessere psicologico dell’operatore e la qualità delle cure prestate: un legame imprescindibile. Analisi di un’esperienza formative. Psicologia della Salute, 3: 93-99
  19. Lechner S.C., Carver C.S., Antoni M.H., Weaver K.E., Phillips K.M. (2006).
  20. Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74(5): 828-840., DOI: 10.1037/0022-006x.74.5.82
  21. Martinez L.S., Sanford Schwartz J., Freres D., Fraze T., Hornick R.C. (2009).
  22. Patient-clinician information engagement increases treatment decision satisfaction among cancer patients through feeling of being informed. Patient Education and Counseling, 77: 384-390., DOI: 10.1016/j.pec.2009.09.00
  23. May S. (2000). Patient satisfaction with management of back pain – Part 1: what is satisfaction? Review of satisfaction with medical management. Physioterapy, 87: 4-9., DOI: 10.1016/s0031-9406(05)61186-
  24. Mount B.M., Boston P.H., Cohen S.R. (2007). Healing Connections: On Moving from Suffering to a Sense of Well-Being. Journal of Pain and Symptom Management, 33: 372-388., DOI: 10.1016/j.jpainsymman.2006.09.01
  25. Osorio Guzman M., Parrello S. (2012). Malattia e bisogno di relazioni significative: studio per l’ampliamento dell’IPQ-R in un gruppo di operatori sanitari della Regione Campania. Psicologia della Salute, 3: 75-92
  26. Pinquart M., Fröhlich C., Silbereisen R.K. (2007). Cancer patients’ perceptions of positive and negative illness-related changes. Journal of Health Psychology, 12(6): 907-921., DOI: 10.1177/135910530708245
  27. Radley A. (2004). Suffering. In: Murray M., a cura di, Critical health Psychology (pp. 31-43). Hampshire: Palgrave MacMillan
  28. Rania N., Siri A., Bagnasco A.M., Aleo G., Sasso L. (2012). Academic climate, well-being and academic performance in a university degree course, Journal of Nursing Management, 22(1): 1-10., DOI: 10.1111/j.1365-2834.2012.01471.
  29. Rich G.J. (2010). Massage Therapy: Significance and Relevance to Professional Practice. Professional Psychology: Research and Practice, 41(4): 325-332., DOI: 10.1037/a002016
  30. Ruini C., Ottolini F., Rafanelli C., Ryff C., Fava G.A. (2003). La validazione italiana delle Psychological Well-being Scales (PWB). Rivista di Psichiatria, 38(3): 117-130.
  31. Ruiz M.A., Pardo A., Rejas J., Soto J., Villasante F., Aranguren J.L. (2008). Development and validation of the Treatment Satisfaction with Medicines Questionnaire. Value in Health, 11(5): 913-926., DOI: 10.1111/j.1524-4733.2008.00323.
  32. Ryff C.D., Keyes C.L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4): 719-727., DOI: 10.1037//0022-3514.69.4.71
  33. Sheppard L.A., Anaf S., Gordon J. (2010). Patient satisfaction with physiotherapy in the emergency department. International Emergencing Nursing, 18: 196-202., DOI: 10.1016/j.ienj.2009.11.008SmallM.,AndersonP.,VickersA.,KayS.,FermerS.(2011).Importanceofinhaler-deviceinasthmatreatment:realworldobservationsofphysicianobservedcomplianceandclinicalpatientreportedoutcomes.AdvancesinTherapy,28:202-212.DOI:10.1007/s12325-010-0108-
  34. Suchman A.L., Roter D., Green M., Lipkin M. (1993). Physician Satisfaction With Primary Care Office Visits. Medical Care, 31(12): 1083-1092., DOI: 10.1097/00005650-199312000-0000
  35. Swenson S.L., Zettler P., Lo B. (2006). ‘She gave it her best shot right away’: Patient experiences of biomedical and patient-centered communication. Patient Education and Counseling, 61: 200-211., DOI: 10.1016/j.pec.2005.02.01
  36. Tallman B.A., Altmaier E., Garcia C. (2007). Finding benefit from cancer. Journal of Counseling Psychology, 54(4): 481-487., DOI: 10.1037/0022-0167.54.4.48
  37. Tung-Chieh Chang J., Chen C-J., Yun-Chan L., Chen Y-C., Lin C-Y., Cheng A.J. (2007). Health-related quality of life and patient satisfaction after treatment for breast cancer in Northern Taiwan. International Journal Radiation Oncology, Biology, Physics, 69(1): 49-53., DOI: 10.1016/j.ijrobp.2007.02.01
  38. WHO (2003). Adherence to long-term therapies. Evidence for action. Geneva: WHO
  39. Youngblut J.M., Casper G.R. (1993) Focus on Psychometrics Single-Item Indicators in Nursing Research. Res Nurs Health, 16(6): 459-465., DOI: 10.1002/nur.477016061

Nadia Rania, Laura Migliorini, Anna Zunino, Patrizia Bianchetti, Maria Giuseppina Vidili, Donatella Cavanna, in "SALUTE E SOCIETÀ" 2/2015, pp. 60-73, DOI:10.3280/SES2015-002005


FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content