干预开发,以促进干细胞移植后的医疗坚持
Donna M Posluszny1,2, Arthur M Nezu3, Dana H Bovbjerg4,5
1University of Pittsburgh, Pittsburgh, USA. poslusznydm@upmc.edu.
Journal of clinical psychology in medical settings
|April 25, 2025
概括
双性问题解决疗法 (DPST) 有效地培训患者和护理人员在异性造血细胞移植 (HCT) 后应对挑战. 这种干预是可行的和可以接受的,不管是亲自或视频交付,改善移植后护理的坚持.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学
- 心理社会支持 心理社会支持
背景情况:
- 全基性造血细胞移植 (HCT) 为血液病提供了拯救生命的治疗方法.
- 在HCT后的护理为患者和家庭护理人员带来了重大坚持挑战.
- 需要有效的干预措施来支持患者-护理人员对象在管理后HCT治疗方案.
研究的目的:
- 开发和评估二极性问题解决疗法 (DPST) 干预的可行性和可接受性.
- 评估DPST在准备患者家庭护理人员对抗HCT后坚持挑战方面的有效性.
- 为了比较DPST干预的面对面与视频会议交付.
主要方法:
- 一项可行性和可接受性研究,涉及12名患者家庭护理人员.
- 被随机分配给接受DPST (面对面或视频) 或增强常规护理 (EUC).
- 通过完成率来评估可行性;通过客户满意度调查问卷评分来评估可接受性.
主要成果:
- 对所有启动干预的二进行100%的完成率,表明了高可行性.
- 发现DPST (面对面/视频) 和EUC都是可以接受的干预措施.
- 在患者和护理人员之间,DPST的高满意度评分 (3.6-4.0),EUC的高满意度评分 (3.3-4.0).
- 基于DPST交付模式 (面对面与视频) 的结果没有显著差异.
结论:
- 双性问题解决疗法 (DPST) 是一个可行的和可接受的干预患者家庭护理者双后HCT.
- 面对面或通过视频会议交付的DPST有效地准备了DYADS来应对坚持挑战.
- 这些发现支持使用DPST作为HCT接受者及其照顾者的支持性护理中的一个有价值的工具.
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