Breast cancer: Education, counseling, and adjustment among patients and partners: A randomized clinical trial
Breast cancer: Education, counseling, and adjustment among patients and partners: A randomized clinical trial
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DOI：
10.1097/01.nnr.0000319496.67369.37
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发表时间：
2008-05-01
期刊：
影响因子：
2.5
通讯作者：
Shukla, Shilpa
中科院分区：
文献类型：
--
作者：
Budin, Wendy C.;Hoskins, Carol Noll;Shukla, Shilpa
背景资料：虽然各种形式的心理教育和咨询干预已经在各种诊断的患者中进行了研究，但特定阶段的心理教育和电话咨询（TC）对正在进行的适应过程的独特贡献尚未在乳腺癌患者及其伴侣中进行探讨。目的：进行一项随机对照临床试验，对特定阶段的循证心理教育和TC干预，以提高情感，身体，方法：将249名患者-伴侣配对的有目的样本随机分为四组：（a）接受疾病管理（DM）的对照组，（B）标准化心理教育（SE），（c）TC，（d）标准化心理教育加电话咨询（SE + TC）。数据收集在基线，诊断，手术后，辅助治疗，并正在进行的恢复阶段测量情绪，身体和社会adjustments.Results：患者表现出较差的调整，随着时间的推移，在DM组相对于那些接受干预措施的情绪调整。随着时间的推移，所有患者的整体健康状况以及社会和职业环境的调整都有所改善。随着时间的推移，所有群体中的合作伙伴在社会环境的调整措施方面都有所改善，但心理健康或整体健康状况没有变化。在TC组的合作伙伴有较差的身体症状评分相比，SE + TC组和较差的职业分数相比，DM group.Discussion：本研究的结果提供了初步支持的价值阶段特定的SE和TC干预措施，以提高选定的调整结果乳腺癌患者及其合作伙伴。
Background: Although various forms of psychoeducation and counseling interventions have been examined among patients with a variety of diagnoses, the unique contribution of phase-specific psychoeducation and telephone counseling (TC) to the ongoing process of adjustment has not been explored among patients with breast cancer and their partners.Objective: To conduct a randomized controlled clinical trial of phase-specific evidence-based psychoeducation and TC interventions to enhance emotional, physical, and social adjustments in patients with breast cancer and their partners.Methods: A purposive sample of 249 patient-partner dyads were assigned randomly to one of four groups: (a) control group receiving disease management (DM), (b) standardized psychoeducation (SE), (c) TC, or (d) standardized psychoeducation plus telephone counseling (SE + TC). Data were collected at baseline, diagnostic, postsurgery, adjuvant therapy, and ongoing recovery phases measuring emotional, physical, and social adjustments.Results: Patients showed poorer adjustment over time in the DM group relative to those receiving interventions on selected measures of emotional adjustment. All patients showed improvement over time in overall health and adjustment in social and vocational environments. Partners in all groups exhibited improvement over time for measures of adjustment in the social environment but no changes in psychological well-being or overall health. Partners in the TC group had poorer scores on physical symptoms compared with the SE + TC group and poorer vocational scores compared with the DM group.Discussion: Findings from this study provide preliminary support for the value of phase-specific SE and TC interventions to enhance selected adjustment outcomes for patients with breast cancer and their partners.