Comparing the effectiveness of behavioral treatment for chemotherapy-induced nausea and vomiting when administered by oncologists, oncology nurses, and clinical psychologists.
Comparing the effectiveness of behavioral treatment for chemotherapy-induced nausea and vomiting when administered by oncologists, oncology nurses, and clinical psychologists.
复制标题
比较肿瘤科医生、肿瘤护士和临床心理学家对化疗引起的恶心和呕吐进行行为治疗的有效性。
DOI：
10.1037//0278-6133.11.4.250
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Rosenthal,S
中科院分区：
文献类型：
--
作者：
Morrow,GR;Asbury,R;Hammon,S;Dobkin,P;Caruso,L;Pandya,K;Rosenthal,S
在癌症的医疗治疗过程中，对副作用的适当控制可以提高患者的依从性和生活质量。对于每三名接受化疗的癌症患者中就有一人出现预期恶心呕吐(ANV)的情况，止吐药物并不是一种有效的治疗方法；临床心理学家提供的系统脱敏行为疗法已被发现对ANV有效。这项研究测试了由医务人员和临床心理学家提供的系统脱敏的有效性。连续72例ANV癌症患者被随机分配到5名行为训练的临床心理学家、6名临床肿瘤学家或10名肿瘤科护士的无治疗对照组或系统脱敏治疗中。与对照组相比，该治疗被发现在减少预期恶心、预期呕吐、治疗后恶心和治疗后呕吐方面有效，临床心理学家和肿瘤工作人员之间的有效性没有显著差异。尽管医务人员不应让患者进行心理治疗或其他无法成功完成的干预，但他们可以通过系统的脱敏有效地治疗患者，并应鼓励他们学习和使用这种技术和其他行为干预技术，以造福于整体患者护理。
Adequate control of side effects during medical treatment of cancer increases patient compliance and quality of life. Antiemetic drugs are not an effective treatment for the one in three cancer patients on chemotherapy who experience anticipatory nausea and vomiting (ANV); the behavioral treatment of systematic desensitization has been found effective for ANV when delivered by clinical psychologists. This study examined the effectiveness of systematic desensitization when delivered by medical personnel versus clinical psychologists. Seventy-two consecutive cancer patients with ANV were randomly assigned to no-treatment control or to systematic desensitization from 5 behaviorally trained clinical psychologists, 6 clinical oncologists, or 10 oncology nurses. The treatment was found effective in reducing anticipatory nausea, anticipatory vomiting, posttreatment nausea, and posttreatment vomiting compared to control patients, with no significant differences in effectiveness found between clinical psychologists and oncology staff. Although medical personnel should not engage patients in psychotherapy or other interventions that cannot be completed successfully, they can treat patients effectively with systematic desensitization and should be encouraged to learn and use this and other behavioral intervention techniques to benefit total patient care.