Negotiating concrete needs: short-term training for high-risk cancer patients.
Negotiating concrete needs: short-term training for high-risk cancer patients.
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协商具体需求：高危癌症患者的短期培训。
DOI：
10.1093/hsw/14.3.184
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发表时间：
1989
影响因子：
1.5
通讯作者：
Mor,V
中科院分区：
文献类型：
--
作者：
Wool,MS;Guadagnoli,E;Thomas,M;Mor,V
癌症诊断和治疗方面的进步以及医疗保健筹资和报销方面的修订改变了癌症患者的生活经历。现在这种疾病的诊断较早，患者可能会活得更长。因此，患者及其家属将需要更具体的服务需求。作者回顾了社会心理肿瘤学文献和病例管理理论的文献。他们介绍了对413名接受化疗的癌症患者的具体需求进行调查的结果。基于这项调查，他们开发了一个短期病例管理干预模型，以提高患者解决问题的能力。干预的目的是增加患者和家庭的自主权和掌控力，减少未满足的需求，并抵消与严重疾病相关的常见无助感。
Advances in the diagnosis and treatment of cancer and revisions in health care financing and reimbursement have changed the experience of living with cancer. The disease now is diagnosed earlier and patients are likely to live longer with the disease. Patients and their families, thus, will require more concrete service needs. The authors review the psychosocial oncology literature and the literature on case management theories. They present their findings of a survey of the concrete needs of 413 cancer patients who were undergoing chemotherapy. Based on this survey, they developed a short-term case management intervention model to improve patient problem-solving skills. The intervention is designed to increase patient and family autonomy and mastery, reduce unmet needs, and counteract common feelings of helplessness associated with serious illness.