Management of Distress in Patients with Cancer-Are We Doing the Right Thing?
Management of Distress in Patients with Cancer-Are We Doing the Right Thing?
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DOI：
10.1093/abm/kaaa091
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发表时间：
2020-12-01
期刊：
影响因子：
--
通讯作者：
Diefenbach MA
中科院分区：
文献类型：
--
作者：
Dekker J;Graves KD;Badger TA;Diefenbach MA
筛查痛苦并转诊以提供心理社会护理是目前管理癌症患者痛苦的首选方法。迄今为止，这一方法对减少痛苦的效果有限。最近的评论认为，应改进危难筛查的实施。另一方面，潜在的假设，即需要为痛苦的病人转介心理社会护理可以质疑。这导致了另一种方法的发展，称为情感支持和案例发现。在寻找创新的解决方案来应对未来的健康挑战的背景下，我们探索如何优化癌症患者的痛苦管理。我们讨论了三种不同的方法：（一）筛选和转诊的优化，（二）提供情感支持和病例发现，（三）使用移动的技术与多种评估的混合方法。我们建议继续研究的筛选和转介的方法，以扩大证据基础，改善情绪支持和病例发现，并评估实用的多重评估的痛苦与新的互动移动的工具。从这些努力中吸取的经验教训可以应用于其他疾病领域，如心血管疾病或糖尿病。在为未来的健康挑战寻找创新解决方案的背景下，我们探索了三种优化癌症患者痛苦管理的方法。
Screening for distress and referral for the provision of psychosocial care is currently the preferred approach to the management of distress in patients with cancer. To date, this approach has shown a limited effect on the reduction of distress. Recent commentaries have argued that the implementation of distress screening should be improved. On the other hand, the underlying assumption that a referral for psychosocial care is required for distressed patients can be questioned. This has led to the development of an alternative approach, called emotional support and case finding. In the context of finding innovative solutions to tomorrow’s health challenges, we explore ways to optimize distress management in patients with cancer. We discuss three different approaches: (i) optimization of screening and referral, (ii) provision of emotional support and case finding, and (iii) a hybrid approach with multiple assessments, using mobile technology. We suggest continued research on the screening and referral approach, to broaden the evidence-base on improving emotional support and case finding, and to evaluate the utility of multiple assessments of distress with new interactive mobile tools. Lessons learned from these efforts can be applied to other disease areas, such as cardiovascular disease or diabetes. In the context of finding innovative solutions to tomorrow’s health challenges, we explore three ways to optimize distress management in patients with cancer.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.6
作者：
Baker-Glenn, Elena A.;Park, Bert;Mitchell, Alex J.
通讯作者：
Mitchell, Alex J.
影响因子：
3.6
作者：
Gouveia L;Lelorain S;Brédart A;Dolbeault S;Bonnaud-Antignac A;Cousson-Gélie F;Sultan S
通讯作者：
Sultan S
DOI：
10.1111/dme.12428
发表时间：
2014-07
期刊：
Diabetic medicine : a journal of the British Diabetic Association
影响因子：
--
作者：
Fisher L;Gonzalez JS;Polonsky WH
通讯作者：
Polonsky WH
影响因子：
2.1
作者：
Braamse, A. M. J.;van Meijel, B.;Dekker, J.
通讯作者：
Dekker, J.