A person-centered intervention targeting the psychosocial needs of gynecological cancer survivors: a randomized clinical trial
A person-centered intervention targeting the psychosocial needs of gynecological cancer survivors: a randomized clinical trial
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DOI：
10.1007/s11764-016-0528-5
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发表时间：
2016-10-01
影响因子：
3.7
通讯作者：
Zoffmann, Vibeke
中科院分区：
文献类型：
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作者：
Olesen, Mette Linnet;Duun-Henriksen, Anne-Katrine;Zoffmann, Vibeke
我们调查了以人为中心的干预措施，包括两到四次由护士主导的对话，使用针对妇科癌症的指导性自我决定 (GSD-GYN-C) 对妇科癌症幸存者的生活质量 (QOL)、癌症的影响、痛苦、焦虑、抑郁、自尊以及自我报告的监测和应对复发症状的能力的影响。我们随机将 165 名妇科癌症幸存者分配到常规护理 (UC) 加单独使用 GSD-GYN-C 或 UC。在随机化前以及随机化后 3 个月和 9 个月时，使用 t 检验评估癌症幸存者自我报告的生活质量 (QOL-CS) 总分以及身体、心理、社交和精神健康的子量表分数。 Bonferroni 和 Pipper 修正用于多项测试调整。 9 个月时，与单独接受 UC 的女性相比，GSD-GYN-C 加 UC 组在 QOL-CS 总量表 (P = 0.02) 和 QOL-CS 身体健康子量表 (P = 0.01) 上的得分显着更高。调整基线分数后，只有身体健康分量表的差异具有统计显着性。基线调整后，干预组和对照组之间没有其他测量结果存在差异。随机分组后 9 个月，我们观察到与接受常规护理的女性相比，GSD-GYN-C 组的身体健康状况更高。结果表明，以人为本的干预 GSD-GYN-C 可能会改善妇科癌症幸存者的身体健康状况。然而，还需要进一步测试。
We investigated the effect of a person-centered intervention consisting of two to four nurse-led conversations using guided self-determination tailored to gynecologic cancer (GSD-GYN-C) on gynecological cancer survivors' quality of life (QOL), impact of cancer, distress, anxiety, depression, self-esteem, and self-reported ability to monitor and respond to symptoms of recurrence.We randomly assigned 165 gynecological cancer survivors to usual care (UC) plus GSD-GYN-C or UC alone. Self-reported QOL-cancer survivor (QOL-CS) total score and subscale scores on physical, psychological, social, and spiritual well-being were assessed before randomization and at 3 and 9 months after randomization using t tests. Bonferroni and Pipper corrections were applied for multiple testing adjustments.At 9 months, the GSD-GYN-C plus UC group scored significantly higher on the QOL-CS total scale (P = 0.02) and on the QOL-CS physical well-being subscale (P = 0.01), compared to women receiving UC alone. After adjusting for baseline scores, only the difference in the physical well-being subscale was statistically significant. No other measured outcomes differed between the intervention and control groups after baseline adjustment.We observed higher physical well-being 9 months after randomization in the GSD-GYN-C group, as compared to women receiving usual care.The results suggest that the person-centered intervention GSD-GYN-C may improve physical well-being in gynecological cancer survivors. However, further testing is needed.