Background/Objectives:This study evaluates the effectiveness of communication strategies and pain management protocols to enhance patients’ experiences during sarcoma core biopsies. Recognizing the complexity and anxiety associated with sarcoma diagnoses, this research aims to assess the utility of the Invasive Procedure Assessment (IPA) tool, focusing on its ability to identify areas for improvement through Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs).Methods:Conducted at two Integrated Practice Units (IPUs) within the Swiss Sarcoma Network, this study involved 282 consecutive patients who underwent core biopsies. One week post-procedure, patients completed the IPA questionnaire, which included PROMs and PREMs. Statistical analyses explored correlations between physician communication, patient understanding, anxiety, pain, and overall satisfaction.Results:The IPA tool effectively captured patient perspectives on sarcoma core biopsies. A significant positive correlation (rho = 0.619,p< 0.0001) was found between effective physician communication and patient understanding, which was associated with reduced anxiety and pain. Higher anxiety levels strongly correlated with increased pain perception (rho = 0.653,p< 0.0001), emphasizing the need for anxiety management. Patients with malignant tumors reported lower overall satisfaction compared to those with benign tumors (p= 0.0003), highlighting the need for tailored communication and pain management strategies. The data also suggested that clear communication might mitigate overly negative subjective impressions, such as concerns about wound complications.Conclusions:Effective communication and anxiety management are essential for improving patient satisfaction during sarcoma core biopsies. The study emphasizes the need for personalized care strategies tailored to tumor characteristics and patient demographics. Future research should validate these findings in diverse healthcare settings and explore the broader application of the IPA tool across different cultural and demographic contexts.
**背景/目的：** 本研究旨在评估沟通策略与疼痛管理方案对改善肉瘤核心活检患者体验的效果。鉴于肉瘤诊断过程的复杂性与患者焦虑情绪，本研究通过患者报告结局指标（PROMs）和患者报告体验指标（PREMs），重点探讨侵入性操作评估工具在识别改进环节中的应用价值。 **方法：** 研究在瑞士肉瘤网络的两个整合实践单元开展，连续纳入282例接受核心活检的患者。术后一周，患者完成包含PROMs和PREMs的IPA问卷。通过统计分析探究医患沟通、患者理解程度、焦虑情绪、疼痛感受与整体满意度之间的相关性。 **结果：** IPA工具有效捕捉了患者对肉瘤核心活检的体验反馈。研究发现，有效的医患沟通与患者理解程度呈显著正相关（rho = 0.619, p < 0.0001），且与焦虑和疼痛程度降低相关。较高焦虑水平与疼痛感知增强密切相关（rho = 0.653, p < 0.0001），提示需加强焦虑管理。恶性肿瘤患者的总体满意度显著低于良性肿瘤患者（p = 0.0003），凸显针对肿瘤性质制定个体化沟通与疼痛管理策略的必要性。数据还表明，清晰的沟通可能缓解患者对伤口并发症等问题的过度负面主观印象。 **结论：** 有效的沟通和焦虑管理是提升肉瘤核心活检患者满意度的关键。研究强调需根据肿瘤特征和患者人口学特点制定个性化护理策略。未来研究应在多样化医疗场景中验证这些发现，并探索IPA工具在不同文化与人口背景中的更广泛应用。
肿瘤(癌症)患者之家