The impact of providing symptom management assistance on caregiver reaction: Results of a randomized trial
The impact of providing symptom management assistance on caregiver reaction: Results of a randomized trial
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DOI：
10.1016/j.jpainsymman.2006.05.019
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发表时间：
2006-11-01
影响因子：
4.7
通讯作者：
Rahbar, Mohammad
中科院分区：
文献类型：
--
作者：
Given, Barbara;Given, Charles W.;Rahbar, Mohammad
这项研究评估了一项随机临床试验的影响，该试验旨在降低家庭成员的反应，并增加他们参与帮助接受化疗的癌症患者更好地管理他们的症状。认知行为干预是针对患者和家庭照顾者的。在10周内，接受实验干预的照顾者对协助治疗症状的总体反应显著低于单独接受传统护理的照顾者，并且协助的症状明显较少(与患者症状严重程度的改善有关)。接受干预的女性照顾者报告说，与对照组的女性照顾者相比，在提供帮助的情况下，每种症状的反应明显较低。因此，干预没有增加照顾者对症状管理的参与，很可能是因为干预组患者的症状严重程度降低了。这项研究为评估针对两个二联体成员的试验提供了一个模型。
This research evaluates the impact of a randomized clinical trial for lowering family members' reactions and increasing their involvement in assisting cancer patients undergoing chemotherapy to better manage their symptoms. The cognitive behavioral intervention was directed toward both the patient and family caregivers. At 10 weeks, caregivers who received the experimental intervention had significantly lower total reactions to assisting with symptoms and assisted with significantly fewer symptoms (linked to patient improvement in symptom severity) than caregivers receiving conventional care alone. Female caregivers receiving the intervention reported significantly lower reaction per symptom where assistance was provided compared to female caregivers in the control group. Thus, the intervention did not increase caregiver involvement in symptom management, quite possibly due to reduced symptom severity among patients in the intervention group. This research offers a model for evaluating trials directed toward both members of a dyad.