Telephone-based coping skills training for patients awaiting lung transplantation
Telephone-based coping skills training for patients awaiting lung transplantation
复制标题
DOI：
10.1037/0022-006x.74.3.535
复制
发表时间：
2006-06-01
影响因子：
5.9
通讯作者：
Palmer, Scott M.
中科院分区：
文献类型：
--
作者：
Blumenthal, James A.;Babyak, Michael A.;Palmer, Scott M.
晚期肺部疾病患者的生活质量受损与死亡率增加相关。作者在2所三级教学医院进行了一项随机对照试验，采用分配隐藏和盲法结果评估，将328名等待肺移植的终末期肺病患者随机分配到12周的电话应对技能培训（CST）或常规医疗护理（UMC）。患者完成了一系列生活质量测试，并随访了3.4年，以评估全因死亡率。与UMC相比，CST在感知压力、焦虑、抑郁症状和负面影响方面得分较低，而在心理健康功能、乐观、活力和感知社会支持方面得分较高。在1.1年的平均随访期间，有29例死亡（9%）。生存分析显示两组患者的生存无差异。作者得出结论，基于电话的CST干预可以有效地传递给等待肺移植的患者。尽管该患者群体的肺部疾病严重，但生活质量显著改善，但没有实现躯体测量或移植生存。
Impaired quality of life is associated with increased mortality in patients with advanced lung disease. Using a randomized controlled trial with allocation concealment and blinded outcome assessment at 2 tertiary care teaching hospitals, the authors randomly assigned 328 patients with end-stage lung disease awaiting lung transplantation to 12 weeks of telephone-based coping skills training (CST) or to usual medical care (UMC). Patients completed a battery of quality of life instruments and were followed for up to 3.4 years to assess all-cause mortality. Compared with UMC, CST produced lower scores on perceived stress, anxiety, depressive symptoms, and negative affect and improved scores on mental health functioning, optimism, vitality, and perceived social support. There were 29 deaths (9%) over a mean follow-up period of 1.1 year. Survival analyses revealed that there was no difference in survival between the 2 groups. The authors conclude that a telephone-based CST intervention can be effectively delivered to patients awaiting lung transplantation. Despite the severity of pulmonary disease in this patient population, significant improvements in quality of life, but not somatic measures or survival to transplant, were achieved.