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对服务不足的癌症患者的需求敏感的合作抑郁症护理:可行性,可接受性和结果

Sarah Price^1,2, Heidi A Hamann^1,3,4, Laila Halaby¹

¹Department of Psychology, University of Arizona, Tucson, AZ, USA.

Journal of psychosocial oncology

|June 22, 2023

概括

COPE-D干预有效地减少了抑郁症,并改善了服务不足的癌症患者的生活质量. 这种协作护理模式显示出高可行性和患者接受度.

科学领域:

在瘤学瘤学.
精神病学是一个精神病学.
医疗保健服务研究医疗服务研究

背景情况:

抑郁症是癌症患者常见的并发症,严重影响生活质量.
缺乏服务的人群经常面临进入心理健康服务的障碍,加剧抑郁症症状.
协作护理模式在将精神健康支持纳入瘤学环境中显示出有前途的希望.

研究的目的:

评估COPE-D (合作治疗抑郁症) 干预措施的可行性,可接受性和结果.
评估COPE-D对缺乏服务的癌症患者抑郁,焦虑,睡眠障碍和社会隔离的影响.
为了确定COPE-D干预的治疗改善和响应率.

主要方法:

进行了一项单臂试验,涉及缺乏服务的患有抑郁症的癌症患者.
双语护理经理提供咨询和药物管理,与医生协商.
测量结果包括抑郁症 (PHQ-9),焦虑 (GAD-2),睡眠质量 (PSQI),心理/身体健康 (PROMIS),社会隔离 (PROMIS) 和定性反.

主要成果:

193名患者中有141人完成了COPE-D干预,这表明保持良好.
65%的患者获得治疗改善,56%的患者根据PHQ-9得分获得治疗反应.
在不同患者小组中,人们观察到抑郁症,焦虑症,睡眠障碍和社会隔离的显著改善.

结论:

COPE-D干预是解决缺乏服务的癌症患者抑郁症的可行和可接受的模式.
COPE-D显著改善了抑郁症和生活质量,证明了它在这个人群中的有效性.
干预的成功在各种人口和临床特征中是一致的,突出了其广泛的适用性.

关键词:

患者健康问卷焦虑和抑郁度量表癌症癌症癌症癌症癌症抑郁抑郁症抑郁症抑郁症是一种瘤学在瘤学方面.这是一种心理社会干预.睡眠睡眠睡眠睡眠睡眠

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