Best Practices in Oncology Distress Management: Beyond the Screen.
Best Practices in Oncology Distress Management: Beyond the Screen.
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DOI：
10.1200/edbk_201307
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发表时间：
2018-05-23
期刊：
影响因子：
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通讯作者：
Rosenstein, Donald L
中科院分区：
文献类型：
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作者：
Smith, Sophia K;Loscalzo, Matthew;Rosenstein, Donald L
社会心理肿瘤学是一门年轻的学科，证据基础正在迅速扩大。在过去的几十年里，几项研究已经证实，心理社会问题，如焦虑、抑郁、创伤后应激、疲劳、性功能障碍和认知障碍，在癌症患者中是常见的和严重的。特意选择“苦恼”一词，是为了抓住一个宽泛的概念；因此，痛苦筛查的目的是作为一个初步步骤，在更有针对性的评估源(s)的病人的痛苦。2015年，美国外科医师学会癌症委员会（American College of Surgeons' Commission on Cancer）规定，心理社会困扰筛查是其认证过程的一部分。国际上也有类似的筛查要求，包括在加拿大，对痛苦的筛查被认可为第六个生命体征，是任何寻求获得认证的加拿大提供癌症服务的卫生保健组织必须满足的护理标准。在过去的几年里，世界各地的癌症中心一直在探索实施和评估痛苦筛查倡议的最佳方法。本文提出了三种实施遇险筛查的方法：(1)在实施遇险管理协议时，建立一个包含共同价值观、感知利益和相关结果重要性的模型；(2)加拿大知识翻译在痛苦筛查中的应用，包括分诊考虑和干预；(3)通过使用移动应用程序来管理创伤后应激症状来管理痛苦管理的新方法。最后，将讨论与技术出现相关的未来机遇和挑战。
The field of psychosocial oncology is a young discipline with a rapidly expanding evidence base. Over the past few decades, several lines of research have established that psychosocial problems, such as anxiety, depression, post-traumatic stress, fatigue, sexual dysfunction, and cognitive complaints, are common and consequential in patients with cancer. The word "distress" was chosen deliberately to capture a broad concept; consequently, distress screening is meant to function as an initial step in the more targeted evaluation of the source(s) of the patient's distress. In 2015, the American College of Surgeons' Commission on Cancer mandated psychosocial distress screening as part of their accreditation process. Similar screening requirements are in place internationally, including in Canada, where screening for distress is endorsed as the sixth vital sign and a standard of care that must be met by any Canadian health care organization providing cancer services that seeks to be accredited. Over the past few years, cancer centers around the world have been exploring optimum ways to implement and evaluate distress screening initiatives. This paper presents three approaches to distress screening implementation: (1) a model that incorporates the importance of shared values, perceived benefits, and relevant outcomes in the implementation of distress management protocols; (2) a Canadian knowledge translation application to distress screening, including triage considerations and interventions; and (3) a novel approach to distress management via the use of a mobile application to manage post-traumatic stress symptoms. In closing, future opportunities and challenges associated with the emergence of technology will be discussed.