可行性:OptiMal的随机对照试验:癌症幸存者的自我管理干预
Lauren Boland1, Kathleen E Bennett2, Sinead Cuffe3
1Discipline of Occupational Therapy, Trinity College Dublin, D08 W9RT Dublin, Ireland.
Current oncology (Toronto, Ont.)
|December 22, 2023
概括
该OptiMal自我管理干预措施在改善癌症幸存者的焦虑和生活质量方面表现有前途. 这种以小组为基础的计划是可行的和可以接受的,需要在不同癌症群体中进行进一步的研究.
科学领域:
- 在瘤学瘤学.
- 癌症的生存率 癌症的生存率
- 健康心理学 心理健康心理学
背景情况:
- 疲劳,疼痛和痛苦等持续症状显著影响癌症幸存者的生活质量和日常活动.
- 在癌症幸存者护理中,自我管理支持至关重要,以减轻这些症状的长期影响.
- 针对癌症幸存者提供结构化支持,OptiMal干预方案被开发出来.
研究的目的:
- 为了评估基于群体的自我管理干预的可行性和潜在有效性,OptiMal.
- 改善癌症幸存者的身体和心理健康.
- 评估六周干预计划的可接受性和遵守性.
主要方法:
- 进行了一项可行性随机对照试验,对癌症治疗后最多两年的个人进行了随机对照试验.
- 参与者被随机分配到OptiMal干预或常规护理.
- 通过招聘和保留率来评估可行性;通过患者在基线和干预后三个月报告的结果来衡量有效性.
主要成果:
- 招聘率达到了32.5% (80/246符合条件),在三个月内保留了77.5%.
- 对于OptiMal干预措施,观察到高坚持率 (73%参加所有会议).
- 与对照组相比,干预组在焦虑 (p=0.04) 和与健康相关的生活质量 (p=0.023为健康指数,p=0.035为视觉模拟得分) 中呈现出统计学上显著的改善.
结论:
- "OptiMal"干预是可行的,可以接受的,并且在改善癌症幸存者的心理健康和生活质量方面显示出潜在的有效性.
- 坚持度很高表明,参与者对干预措施的接受很好.
- 由于该研究主要包括乳腺癌幸存者的限制,建议对多种癌症群体进行进一步的研究.
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