Quality of Life and Symptom Experience in Breast Cancer Survivors After Participating in a Psychoeducational Support Program A Pilot Study
Quality of Life and Symptom Experience in Breast Cancer Survivors After Participating in a Psychoeducational Support Program A Pilot Study
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DOI：
10.1097/ncc.0b013e318218266a
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发表时间：
2012-01-01
期刊：
影响因子：
2.6
通讯作者：
Kim, Ku Sang
中科院分区：
文献类型：
--
作者：
Park, Jin-Hee;Bae, Sun Hyoung;Kim, Ku Sang
背景资料：治疗后的生存率尚未得到广泛研究，尽管长期以来的证据表明，乳腺癌治疗后，妇女需要持续的支持，以处理其身体和心理问题。目的：本实验性试点研究的目的是检查生活质量（QOL）和症状的结果，心理教育支持计划的妇女在第一年的乳腺癌治疗后生存。方法：样本包括48名女性乳腺癌幸存者，随机分为干预组（n = 25）和对照组（n = 23）。心理教育支持计划包括个人面对面的教育，电话提供的健康辅导课程，和小组会议。研究工具是记忆症状评估量表-简表和癌症治疗功能评估-乳腺问卷。结果：与对照组相比，干预组的生存质量总体上更高，情绪幸福感更高。干预组心理症状困扰程度低于对照组。结论：一个心理教育支持计划可能会促进更好的整体生活质量和症状的经验过渡到女性乳腺癌幸存者的生存。对实践的影响：肿瘤科护士能够提供教育和支持，以帮助乳腺癌幸存者管理他们的症状和适应初级治疗后的生活。需要研究确定改善乳腺癌幸存者整体健康和生活质量的最佳策略。
Background: Post-treatment survivorship has not been extensively studied, despite long-standing evidence that after breast cancer treatment, women need continuing support to deal with their physical and psychosocial concerns. Objective: The purpose of this experimental pilot study was to examine the quality of life (QOL) and symptom outcomes of a psychoeducational support program for women in the first year of post-breast cancer treatment survivorship. Methods: The sample consisted of 48 female breast cancer survivors randomly assigned to an intervention group (n = 25) and control group (n = 23). The psychoeducational support program consisted of individual face-to-face education, telephone-delivered health-coaching sessions, and small-group meetings. Study instruments were the Memorial Symptom Assessment Scale-Short Form and Functional Assessment of Cancer Therapy-Breast questionnaire. Results: Compared with the control group, survivors in the intervention group reported higher QOL overall and higher emotional well-being. The intervention group reported lower psychological symptom distress than the control group. Conclusions: A psychoeducational support program may promote a better overall QOL and symptom experience in transition to survivorship among female breast cancer survivors. Implications for Practice: Oncology nurses are in a position to provide education and support to assist breast cancer survivors in managing their symptoms and adjusting to life after primary treatment. Research to determine optimal strategies to improve breast cancer survivors' overall health and QOL is needed.