An Internet Intervention for Management of Uncertainty During Active Surveillance for Prostate Cancer
An Internet Intervention for Management of Uncertainty During Active Surveillance for Prostate Cancer
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DOI：
10.1188/11.onf.561-568
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发表时间：
2011-09-01
影响因子：
1.9
通讯作者：
Kelly, William Kevin
中科院分区：
文献类型：
--
作者：
Kazer, Meredith Wallace;Bailey, Donald E., Jr.;Kelly, William Kevin
目的/目标：提供互联网干预的初步数据，该干预结合了认知重建和自我管理策略，以帮助接受主动监测(AS)的老年男性自我管理疾病相关问题和提高生活质量(QOL)。设计：单对象设计。背景：美国东北部主要学术医学中心的两个参与的泌尿外科实践。样本：9名接受AS的患者。方法：将干预完成后立即和五周后的基线数据与数据进行比较。电话访谈被用来确定在接受AS的患者中干预的总体可行性以及易用性、用户友好性和可接受性。主要研究变量：自我效能感、不确定性和QOL。结果：结果显示，大多数变量在基线(时间1)和干预完成(时间2)之间发生变化，干预后(时间3)回到基线。干预可接受性的12项指标中有10项达到了要求。结论：这项先导性研究的结果将导致进一步的研究，旨在帮助男性管理与AS相关的问题，并改善QOL。护理启示：该干预措施可能会减少临床上适合这种治疗方案的男性前列腺癌的过度治疗。
Purpose/Objectives: To provide preliminary data on an Internet intervention that incorporates cognitive reframing and self-management strategies to help older men undergoing active surveillance (AS) self-manage disease-related issues and improve quality of life (QOL).Design: Single-subject design.Setting: Two participating urologic practices at major academic medical centers in the northeastern United States.Sample: 9 patients undergoing AS.Methods: Baseline data were compared to data immediately after completion of the intervention and five weeks later. Telephone interviews were used to determine overall feasibility as well as the ease of use, user friendliness, and acceptability of the intervention in patients undergoing AS.Main Research Variables: Self-efficacy, uncertainty, and QOL.Findings: The results revealed change between baseline (time 1) and intervention completion (time 2) in the majority of variables, with a return toward baseline after the intervention (time 3). Ten of the 12 measures of intervention acceptability were met. The results showed positive trends in the impact of the intervention and good overall acceptability.Conclusions: The results of this pilot study will lead to further research aimed at helping men manage issues related to AS and improve QOL.Implications for Nursing: The intervention may reduce the overtreatment of prostate cancer in men who are clinically appropriate for this management option.