Uncertainty management intervention for older African American and Caucasian long-term breast cancer survivors
Uncertainty management intervention for older African American and Caucasian long-term breast cancer survivors
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DOI：
10.1300/j077v23n02_02
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发表时间：
2005-01-01
影响因子：
2.1
通讯作者：
Belyea, M
中科院分区：
文献类型：
--
作者：
Gil, KM;Mishel, MH;Belyea, M
幸存者不确定性管理干预研究是一项随机对照研究，旨在测试所有干预措施的有效性，这些干预措施将录音认知行为策略培训与自助手册相结合，以管理癌症复发的不确定性，该手册旨在帮助女性了解和管理长期治疗副作用和其他症状。具体来说，女性被教导要认识到自己的个人触发不确定性（地方，事件或环境，带回记忆，感觉或对乳腺癌的担忧），然后使用应对技巧，如放松，分心和平静的自我对话来处理不确定性。此外，还教导妇女使用手册作为应对疲劳、水肿、疼痛和其他症状的资源。治疗结果数据（Mishel等人，研究表明，不确定性管理干预导致认知重构，癌症知识，社会支持的改善。症状和副作用的知识，以及与对照条件相比的应对技能。本文件的目的是报告参与干预的244名妇女对干预内容的使用和帮助情况。研究结果表明，妇女经常使用干预措施来处理乳腺癌复发和长期治疗副作用的触发因素，大多数妇女认为这些策略非常有用。
The survivor uncertainty management intervention study is a randomized controlled Study designed to test the efficacy of all intervention that combines training in audiotaped cognitive behavioral strategies to manage uncertainty about cancer recurrence with a self-help manual designed to help Women understand and manage long-term treatment side effects and other symptoms. Specifically, women were taught to recognize their own personal triggers of uncertainty (places, events or surroundings, that bring back memories, feelings, or concerns about breast cancer), and then use coping skills Such as relaxation, distraction, and calming self-talk to deal with uncertainty. Also, women were taught to use the manual as a resource for dealing with fatigue, lymphedema, pain and other symptoms. Treatment outcome data (Mishel et al., in press) indicated that the uncertainty management intervention resulted in improvements, in cognitive reframing, cancer knowledge, social support. knowledge of symptoms and side effects, and coping skills when compared to a control condition. The purpose of the present paper was to report on the use and helpfulness of the intervention components by the 244 women who were in the intervention. Findings indicated that women regularly used the intervention components to deal with triggers of breast cancer recurrence and long-term treatment side effects and most women found the strategies very helpful.