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为癌症相关疲劳提供逐步护理认知行为疗法的虚拟交付:可行性研究
Lauren K Williams1,2, Maria Ftanou1,3, Elizabeth J Pearson1,3
1Peter MacCallum Cancer Centre, Melbourne, VIC Australia.
Integrative cancer therapies
|August 12, 2023
概括
一个虚拟的渐进护理认知行为疗法 (CBT) 计划被证明是可行的,用于管理持续的癌症相关疲劳. 这种方法改善了癌症幸存者的疲劳,自我效能和情绪,提供了一个可扩展的解决方案.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 持续的疲劳影响了大约三分之一的癌症幸存者,显著影响生活质量.
- 与癌症相关的严重疲劳与减弱的耐力,焦虑,抑郁和认知功能障碍有关.
- 建议使用认知行为疗法 (CBT),但由于资源和临床医生的可用性而受到限制.
研究的目的:
- 为了探索远程传递的可行性,逐步护理认知行为疗法 (CBT) 计划用于持续的癌症相关疲劳.
- 评估虚拟CBT干预的可接受性,遵守性和满意度.
- 评估疲劳,自我效能和情绪的初步变化.
主要方法:
- 通过使用工作簿进行了为期6周的自助CBT计划 (STEP 1).
- 严重持续疲劳的参与者被升级到由临床心理学家领导的远程医疗CBT组 (STEP 2).
- 在基线,6周和12周评估了可行性和感知变化.
主要成果:
- 远程交付CBT的可行性,保留,坚持和满意度都很高.
- 在STEP 1之后,疲劳和自我效能的显著改善被注意到.
- 步骤2进一步改善了疲劳,自我效能和情绪,特别是在基线疲劳较高的人群中.
结论:
- 远程传递,逐步治疗的CBT是一种可行的干预措施,用于管理与癌症相关的疲劳.
- 未来的研究应该试验基于疲劳严重程度的分层CBT方法,以获得潜在的更高的有效性.
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