管理癌症和有意义的生活 (CALM):在荷兰癌症护理中的实施
Marianne Kool1, Emma Hafkamp1, Janna Gol2
1Center for Quality of Life, Antoni van Leeuwenhoek -Netherlands Cancer Institute, Amsterdam, the Netherlands.
Psycho-oncology
|January 28, 2024
概括
管理癌症和有意义的生活 (CALM) 治疗对于荷兰的晚期癌症患者来说是可行的和可以接受的. 这种基于证据的心理治疗有效地减少了抑郁,焦虑和死亡焦虑.
科学领域:
- 心理瘤学 心理瘤学
- 基于证据的心理治疗.
- 癌症护理实施方案
背景情况:
- 管理癌症和有意义的生活 (CALM) 是针对晚期癌症患者的简短心理治疗.
- CALM是以证据为基础的,但在荷兰的癌症护理中没有常规实施.
- 实施需要对可行性,可接受性,可持续性和有效性的评估.
研究的目的:
- 评估CALM在荷兰癌症护理环境中的可行性,可接受性,可持续性和有效性.
- 评估CALM在不同临床环境中的常规实施情况.
- 测量CALM对患者报告结果的影响.
主要方法:
- 在荷兰的三个癌症护理机构 (2019-2020) 进行了一项多中心,仅干预的研究.
- 治疗师接受培训和监督,以提供CALM.
- 患有晚期癌症的患者在基线,3个月和6个月完成了关于抑郁症,死亡焦虑和一般焦虑的验证问卷.
主要成果:
- 包括64名患者,其中85%接受了至少3次CALM治疗.
- 治疗师采用CALM的研究持续了两年.
- 观察到抑郁症 (p=0.006),死亡焦虑 (p=0.008) 和焦虑 (p=0.024) 的显著减少.
结论:
- 在荷兰的癌症护理环境中,CALM疗法是可行的,可以接受的和可持续的.
- CALM在减少心理困扰方面表现出有效性,包括抑郁,焦虑和死亡焦虑.
- 虽然没有满足所有治疗师可行性标准,但CALM显示了将其整合到常规护理中的希望.
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