Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer.
Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer.
复制标题
DOI：
10.1080/07347332.2021.1936336
复制
发表时间：
2022
影响因子：
2.1
通讯作者：
Boudreaux, Edwin D.
中科院分区：
文献类型：
--
作者：
O'Hea, Erin L.;Creamer, Samantha;Flahive, Julie M.;Keating, Beth A.;Crocker, Candace R.;Williamson, Shannon R.;Edmiston, Kathryn L.;Harralson, Tina;Boudreaux, Edwin D.
北极星肿瘤学生存过渡(POST)系统是一个基于计算机的程序，它集成了来自电子健康记录、肿瘤学团队和患者的信息，以产生个性化的生存护理计划。这项研究的目的是比较结束乳腺癌治疗的女性在信心、生活质量和对心理健康转介的兴趣方面的职位和通常的治疗。200名结束乳腺癌治疗的妇女(100名治疗后，100名照常治疗)参加了一项随机对照试验。在基线/干预预约期间，被随机分配到岗位条件的妇女接受个性化护理计划。在登记和基线/干预时，本研究检查了一些结果，包括通过生存信心指数(CSI)和生活质量(QOL)衡量的进入生存的信心。还进行了1个月、3个月和6个月的随访评估。治疗组在任何时间点的生活质量评分方面没有差异。在基线的CSI总分和两个子量表中，CSI总分和两个子量表的平均CSI得分在治疗后和治疗前有统计学差异，但仅在1个月随访时对预防和治疗知识的信心不同。所有显着性差异都支持后干预，因为接受后干预的参与者的CSI平均得分高于通常治疗的参与者。在3个月和6个月的随访评估中，这些发现消失了。最后，与通常接受治疗的女性相比，接受后干预的患者要求心理健康/社会服务转诊的可能性是前者的两倍。肿瘤学家可能会利用这篇帖子为结束癌症治疗的女性建立个性化的护理计划，这可能会在短期内增强患者的信心，并鼓励使用心理健康资源。
The Polaris Oncology Survivorship Transition (POST) system is a computer-based program that integrates information from the electronic health record, oncology team, and the patient to produce a personalized Survivorship Care Plan. The purpose of this study was to compare the POST to treatment as usual on confidence, quality of life, and interest in mental health referrals in women ending treatment for breast cancer. Two hundred women (100 POST, 100 treatment as usual) ending treatment for breast cancer were enrolled in a randomized controlled trial. Women randomized to the POST condition received a personalized care plan during a baseline/intervention appointment. At enrollment and baseline/intervention, a number of outcomes were examined in this study, including confidence to enter survivorship measured by the Confidence in Survivorship Index (CSI) and Quality of Life (QOL). One, three, and six month follow up assessments were also conducted. Treatment groups did not differ in terms of QOL scores at any time points. Mean CSI scores were statistically different between POST and treatment as usual at baseline for the total CSI score and both subscales, but only for confidence in knowledge about prevention and treatment at the 1-month follow-up. All significant differences were in favor of the POST intervention as mean CSI scores were higher for participants who received the POST intervention as opposed to treatment as usual. These findings disappeared at the 3 and 6 month follow up assessments. Finally, patients who received the POST intervention were twice as likely to request mental health/social services referrals compared to women who received treatment as usual. Oncologists may use the POST to build personalized care plans for women ending treatment for cancer, which may enhance patients’ confidence in the short term as well as encourage use of mental health resources.
登录
查看更多内容
影响因子：
3.7
作者：
Jeppesen, Mette Moustgaard;Ezendam, Nicole P. M.;van de Poll-Franse, Lonneke V.
通讯作者：
van de Poll-Franse, Lonneke V.
影响因子：
3.1
作者：
Turner, Jane;Yates, Patsy;Mackenzie, Lisa
通讯作者：
Mackenzie, Lisa
影响因子：
4.7
作者：
Brothers, Brittany M.;Easley, Andrea;Andersen, Barbara L.
通讯作者：
Andersen, Barbara L.
影响因子：
4.7
作者：
de Rooij, Belle H.;Ezendam, Nicole P. M.;van de Poll-Franse, Lonneke V.
通讯作者：
van de Poll-Franse, Lonneke V.
影响因子：
3.7
作者：
Olesen, Mette Linnet;Duun-Henriksen, Anne-Katrine;Zoffmann, Vibeke
通讯作者：
Zoffmann, Vibeke