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

本研究的目的是通过文献综述、日本及国外的考察调查和对护理咨询的定性分析，对癌症护理咨询支持模式的效果进行评估。我使用SF-36作为主要终点的生活质量评估。在评价的基础上，对模型进行了修正。研究对象为41名患者和19名家属。患者及家属SF-36各分量表均值有升高趋势，但差异无统计学意义。男性患者的人格特征分量表得分较高。Child-Pugh B级患者的RP、GH、VT、SF、RE、MH评分较低。在基线上，MH评分和40分以上的TNM分期与较低的OS有关。从患者基线时的MH评分&40分导致预后不良的结果来看，维护心理健康的重要性已经得到证实。为了通过综合未分析数据的结果来提高支持模型的有效性，使用电话跟踪是有效的。而且对于增加和修改干预的内容和频率也是必不可少的。此外，考虑使用随机对照试验设计干预和其他评估方法也很重要。

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.