A case study of telephone interpersonal counseling for women with breast cancer and their partners

A case study of telephone interpersonal counseling for women with breast cancer and their partners
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DOI:
10.1188/04.onf.997-1003
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发表时间:
2004-09-01
影响因子:
1.9
通讯作者:
Bonham, E
Bonham, E
中科院分区:
医学4区
文献类型:
--
作者:
Badger, T;Segrin, C;Bonham, E

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目的/目标:介绍一位乳腺癌妇女及其伴侣的个案研究,以提供一种创新的电话人际咨询干预的第一手资料。数据来源:期刊文章、书籍章节、研究数据和电话咨询会议的记录。数据综合:有大量证据表明,面对面的心理社会干预改善了心理干预不是常规提供的,许多癌症患者不使用面对面的咨询机制。电话可能是一种创新和有效的方法提供创新,和电话提供的人际咨询可能是一个特别有效的干预妇女与乳腺癌及其patient.Conclusions:尽管事实上,电话咨询发生在一个短暂的时间内,妇女和她的合作伙伴在这个案例研究报告了大量的积极变化,在自己的痛苦(例如,症状,如抑郁和焦虑)以及他们与彼此和他们的孩子的关系的性质。这正是心理困扰的人际理论所预测的效果。这些结果是不典型的其他妇女和他们的合作伙伴谁参加了研究。影响护理:家庭成员发挥了重要作用,支持妇女通过乳腺癌的经验,因此,护士应评估双方的合作伙伴在治疗过程中的情绪困扰,如果需要的话,提供批判性的教育和转介心理社会干预。这名妇女和她的伴侣显然从干预中受益,改善了症状管理和生活质量。虽然这种干预需要在高级实践护理角色的额外培训,干预的一些技术可以使用的所有护士,无论专业培训。
Purpose/Objectives: To present a case study of one woman with breast cancer and her partner to provide a firsthand account of an innovative telephone interpersonal counselling intervention.Data Source: Journal articles, book chapters, research data, and transcriptions of telephone counseling sessions.Data Synthesis: Substantial evidence exists that face-to-face psych-social interventions improve psychological interventions are not offered routinely, and many patients with cancer do not use face-to-face counseling mechanisms. The telephone may be an innovative and effective method of delivering innovations, and telephone-delivered interpersonal counseling may be an especially effective intervention for women with breast cancer and their patients.Conclusions: Despite the fact that the telephone counseling occured over a brief period of time, the women and her partner in this case study reported substantial positive changes in their own distress (e.g., symptoms such as depression and anxiety) and the nature of their relationship with each other and their children. This is precisely the effect that would be predicted by interpersonal theories of psychological distress. These results were not atypical for other women and their partners who participated in the study.Implications for Nursing: Family members play a significant role in supporting women through the breast cancer experience; thus, nurses should assess the emotional distress of both partners during the course of treatment and if needed, provide critical education and referral to psychosocial interventions. This woman and her partner clearly benefited from the intervention, resulting in improved symptom management and quality of life. Although this intervention requires additional training in the advanced practice nursing role, some techniques of the intervention can be used by all nurses, regardless of specialty training.