Randomized trial of coordinated psychosocial interventions based on patient self-assessments versus standard care to improve the psychosocial functioning of patients with cancer
Randomized trial of coordinated psychosocial interventions based on patient self-assessments versus standard care to improve the psychosocial functioning of patients with cancer
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DOI：
10.1200/jco.2001.19.21.4117
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发表时间：
2001-11-01
影响因子：
45.3
通讯作者：
Zalcberg, J
中科院分区：
文献类型：
--
作者：
McLachlan, SA;Allenby, A;Zalcberg, J
目的：确定是否使患者报告的癌症需求、生活质量（QOL）和心理社会信息可用于医疗保健团队，允许协调具体针对性的心理社会干预，从而减少癌症需求，改善QOL，并提高对所接受护理的满意度。方法：通过触摸屏计算机使用标准化问卷，从450名癌症患者中收集了自我报告的癌症需求，QOL和心理社会信息。对于随机选择的三分之二的人，这些信息将提供给协调有针对性的心理社会干预措施的医疗保健团队。其余三分之一的信息，没有看到。患者进行了评估2个月和6个月后，随机化的变化，他们的癌症需求，生活质量，心理社会功能和满意度与整体careeraccepted.Results：有两个武器之间没有显着差异的变化，癌症需求，生活质量，或心理社会功能之间的基线和后续评估，也不至于满意度与护理。然而，对于基线时中度或重度抑郁的患者亚组，在6个月评估时，干预组的抑郁程度相对于对照组显著降低（P = .001）.结论：使患者报告的癌症需求，生活质量，和心理社会数据提供给卫生保健小组在一个单一的咨询与协调的心理社会干预似乎并不，减少癌症需求，也不改善QOL，心理社会功能或对所接受护理的满意度。然而，识别中度或重度抑郁症患者可能对降低随后的抑郁水平有价值。(C)2001年，美国临床肿瘤学会。
Purpose: To determine whether making patient-reported cancer needs, quality-of-life (QOL), and psychosocial information available to the health care team, allowing coordinated specifically targeted psychosocial interventions, resulted in reduced cancer needs, improved QOL, and increased satisfaction with care received.Methods: Self-reported cancer needs, QOL, and psychosocial information was collected from 450 people with cancer, using standardized questionnaires via a touch-screen computer. For a randomly chosen two thirds, this information was made available to the health care team who coordinated targeted psychosocial interventions. Information from the remaining one third was not seen. Patients were assessed 2 and 6 months after randomization for changes in their cancer needs, QOL, and psychosocial functioning and satisfaction with overall care received.Results: There were no significant differences between the two arms with respect to changes in cancer needs, QOL, or psychosocial functioning between the baseline and follow-up assessments, nor with respect to satisfaction with care. However, for the subgroup of patients who were moderately or severely depressed at baseline, there was a significant reduction in depression for the intervention arm relative to the control arm at the 6-month assessment (P = .001).Conclusion: Making patient-reported cancer needs, QOL, and psychosocial data available to the health care team at a single consultation together with coordinated psychosocial interventions does not seem to reduce cancer needs nor improve QOL, psychosocial functioning, or satisfaction with the care received. However, identification of patients with moderate or severe levels of depression may be valuable in reducing subsequent levels of depression. (C) 2001 by American Society of Clinical Oncology.