Randomized controlled trial of supportive care interventions to manage psychological distress and symptoms in Latinas with breast cancer and their informal caregivers
Randomized controlled trial of supportive care interventions to manage psychological distress and symptoms in Latinas with breast cancer and their informal caregivers
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DOI：
10.1080/08870446.2019.1626395
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发表时间：
2019-06-12
影响因子：
3.3
通讯作者：
Chalasani, Pavani
中科院分区：
文献类型：
--
作者：
Badger, Terry A.;Segrin, Chris;Chalasani, Pavani
目的：本研究的目的是测试两个2个月的心理社会干预（电话人际咨询[TIPC]和支持性健康教育[SHE]），以改善生活质量（QOL）的结果与乳腺癌拉丁美洲人和他们的非正式照顾者。研究方法：241名拉丁裔乳腺癌患者及其护理人员在基线、2个月干预后立即、基线后4个月和6个月进行了评估。QOL结果包括心理困扰、症状和社会支持。结果如下：线性混合效应模型显示，对于2个月的癌症幸存者，与SHE相比，TIPC产生较低的校正平均抑郁评分。在4个月时，与TIPC相比，SHE减少了症状总数、整体症状困扰和社会隔离。6个月时，SHE组仅症状总数低于TIPC组。在2个月的照顾者中，与TIPC相比，SHE的症状总数、整体症状困扰和焦虑较低，症状管理的自我效能较高。在4个月时，TIPC中的护理人员抑郁低于SHE。结论：这些电话提供的干预措施改善了不同的结果。TIPC在抑郁管理方面表现出上级获益，SHE在焦虑和癌症相关症状管理方面更成功。
Objective: The purpose of this study was to test two 2-month psychosocial interventions (Telephone Interpersonal Counseling [TIPC] and Supportive Health Education [SHE]) to improve quality of life (QOL) outcomes for Latinas with breast cancer and their informal caregivers. Methods: Two hundred and forty-one Latinas with breast cancer and their caregivers were assessed at baseline, immediately after the 2-month intervention, at 4 and 6 months after baseline. QOL outcomes were psychological distress, symptoms and social support. Results: Linear mixed effects models showed that for cancer survivors at 2 months, TIPC produced lower adjusted mean depression scores compared to SHE. At 4 months, SHE had reduced total number of symptoms, global symptom distress, and social isolation compared to TIPC. Only total number of symptoms was lower in SHE than in TIPC at 6 months. Among caregivers at 2 months, total number of symptoms, global symptom distress, and anxiety were lower, and self-efficacy for symptom management was higher in SHE compared to TIPC. Caregiver depression was lower in TIPC compared to SHE at 4 months. Conclusions: These telephone delivered interventions improved different outcomes. TIPC demonstrated superior benefits for depression management and SHE was more successful in anxiety and cancer-related symptom management.