患者と介護者の視点 コーチングベースの早期緩和ケアプログラム (シンガポールでの生命が終わる前に有効化,育成,助言): 質的研究
Apphia Jia Qi Tan1, Eve Seraphina Qing Yi Low1, Ke Yu1
1Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore.
Journal of palliative medicine
|August 27, 2025
まとめ
ENABLE-SGプログラムは 癌患者と介護者の自己管理能力を向上させました 成功の鍵となる要因は パーソナライズされた提供,強いコーチの関係,より良い緩和ケアの結果のための参加者の状況を考慮することです.
科学分野:
- 腫瘍学
- 緩和ケア
- 健康心理学
背景:
- 腫瘍学における早期緩和ケアへの統合は 症状管理,患者の満足度,生活の質を改善します
- ENABLE-SGプログラムは,プロジェクト ENABLEから改訂され,がん患者と介護者を自己管理のスキルで力づけています.
- ENABLE- SGは,シンガポールの ambulatory oncology setting でパイロットテストされました.
研究 の 目的:
- ENABLE-SGプログラムでの患者と介護者の経験を調査する.
- プログラムの有効性に貢献する重要な要素を特定する.
- 将来の緩和医療の介入に 役立つように
主な方法:
- 定性的な記述的研究デザイン
- プログラム終了後の 17人の進行がん患者と 13人の介護者との電話インタビュー
- トランスクリプトされたインタビューデータの反射的なテーマ分析.
主要な成果:
- パーソナライズされたプログラム提供は 参加者の利益を増大します
- コーチと参加者の関係は,ENABLE-SGプログラムの成功の中心です.
- 参加者の状況や態度がコーチングの有用性に影響します.
結論:
- 早期の緩和ケアを最適化して 提供をパーソナライズし,コーチと参加者の強い関係を育成することを示唆しています
- アクセシブルなコーチングリソースを開発し,適切なタイミングでプログラムを導入することで,成果を向上させることができます.
- ENABLEプログラムの持続可能性と実施を評価するには,さらなる評価が必要である.
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