Verification of the psychosocial effects of nursing consultation support model to cancer patients and their family members

本研究目的在探讨癌症护理谘询支援模式之成效，整合文献回顾、国内外检视调查及护理谘询之质性分析。我使用SF-36作为主要终点QOL评价。在评价的基础上，对模型进行了修正。受试者为41名患者和19名家庭成员。患者及家属SF-36各分量表均值均呈上升趋势，但差异无统计学意义。男性患者的PF分量表得分较高。Child-Pugh B组RP、GH、VT、SF、RE、MH评分较低。基线时MH评分< 40分及TNM分期≥ III与OS较低有关，从基线时MH评分< 40分导致预后不良的结果，证实了维持心理健康的重要性。为了综合未分析资料的结果以提高支持模式的有效性，使用电话追踪是有效的。而且还必须增加和修改干预的内容和频率。同时应考虑使用随机对照试验设计干预等评价方法。

The purpose of this study is to assess the effect of cancer nursing consultation support model, that integrated the findings of literature review, inspection survey in Japan and abroad and qualitative analysis of the nursing consultation. I used SF-36 as a primary endpoint QOL evaluation. On the basis of the evaluation, I revised the model. Subjects were 41 patients and 19 family members. SF-36 sub-scale mean value of the patients and family members showed tendency to increase, but there was no statistically significant differences. Patients’ sub-scale score of PF was higher in men. The score of RP, GH, VT, SF, RE, and MH were lower in Child-Pugh B cases. At the baseline, MH score < 40 and over III TNM staging were related to lower OS. From the result of patients’ MH score < 40 at baseline caused to poor prognosis, the importance of maintaining the mental health has been confirmed. In order to improve the effectiveness of the support model by synthesizing the results of unanalyzed data, it's effective to use of telephone follow-up. And will be also essential to add and modify contents and frequency of intervention. Also it is important that consider to use the RCT design intervention and other evaluation methods.