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Reducing distress in cancer patients with an orientation program
R P McQuellon1, M Wells, S Hoffman
1Wake Forest University, School of Medicine, Winston-Salem, NC 27157-1082, USA.
Psycho-Oncology
|June 25, 1998
Summary
A brief orientation program significantly reduced anxiety, depressive symptoms, and distress in new cancer patients. This intervention improved patient knowledge and satisfaction with oncology clinic services.
Area of Science:
- Oncology
- Psychological Medicine
- Patient Care
Background:
- Cancer patients often experience significant anxiety, depressive symptoms, and distress, particularly during initial clinic visits.
- Early diagnosis and treatment phases are critical periods for managing psychological distress in cancer care.
Purpose of the Study:
- To evaluate the effectiveness of a brief orientation program in mitigating anxiety, depressive symptoms, and overall distress among cancer patients.
- To assess the impact of the orientation program on patient knowledge and satisfaction with oncology clinic operations.
Main Methods:
- A randomized controlled trial involving 150 cancer patients assigned to either an intervention (orientation program) or usual care group.
- The intervention included a clinic tour, operational information, and a Q&A session with an oncology counselor.
- Standardized measures (STAI, POMS, CES-D) and a clinic questionnaire were used for assessment at baseline and follow-up.
Main Results:
- The intervention group showed statistically significant reductions in state anxiety, overall distress, and reported depressive symptoms compared to the control group.
- Patients receiving the orientation program demonstrated enhanced knowledge of clinic operations and reported higher satisfaction with care.
- No significant baseline clinical or demographic differences were observed between the groups.
Conclusions:
- A brief orientation program is an effective strategy for reducing psychological distress, including anxiety and depression, in newly diagnosed cancer patients.
- Implementing such programs early in the patient's journey can improve their experience and adjustment to cancer care.
- The findings support the integration of patient orientation into standard oncology outpatient services.