为癌症患者的亲属赋权悲伤:从探索性随机对照试验的实施和发现
David Dias Neto1, Alexandra Coelho1, Ana Nunes da Silva2
1APPsyCI-Applied Psychology Research Center Capabilities & Inclusion, ISPA-Instituto Universitário, 1149-041 Lisbon, Portugal.
Behavioral sciences (Basel, Switzerland)
|July 29, 2025
概括
这项研究发现,Empower-Grief可与通常的护理相提并论,用于缓解息患者护理人员的长期悲伤障碍 (PGD) 症状. 早期症状和治疗结盟预测了结果,这表明授权-悲伤.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理学 心理学 心理学
- 悲伤和丧失的研究研究
背景情况:
- 息护理亲属的悲伤反应往往被忽视,干预侧重于长期悲伤障碍 (PGD),而不是预防.
- 有限的干预措施存在于风险个人经历早期的问题悲伤.
- 息和瘤患者的护理人员特别容易受到复杂的悲伤的影响.
研究的目的:
- 评估Empower-Grief的疗效,这是一种针对早期问题悲伤反应的选择性干预.
- 探索Empower-Grief在息护理环境中的有效性预测因素.
- 为了比较Empower-Grief与通常治疗 (TAU) 在减少PGD症状方面.
主要方法:
- 一项探索性随机受控试验 (RCT) 涉及46名参与者 (息/瘤患者的亲属/护理人员).
- 干预组接受了Empower-Grief;对照组接受了TAU.干预组接受了Empower-Grief;对照组接受了TAU.
- 评估包括PGD症状,焦虑,抑郁,应对,依恋,心理灵活性,创伤后成长,社会支持和治疗联盟在基线,干预后和六个月的随访.
主要成果:
- 授权悲伤和TAU在减少PGD症状和心理痛苦方面表现出相当的结果.
- 最初的悲伤症状和治疗联盟是干预后和随访结果的重要预测因素.
- 两组之间没有发现关于主要结局 (PGD症状) 的显著差异.
结论:
- 授权悲伤是一种有前途的干预措施,在息护理环境中管理悲伤反应方面显示出与TAU相当的有效性.
- 其较低的强度,易于训练和应用使得Empower-Grief成为支持丧亲照顾者的可行选择.
- 需要进一步的研究来证实这些发现,并探索Empower-Grief的更广泛的应用.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.4K
相关概念视频
01:17Bonanno's Theory of Grieving
162
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
162
01:20Coping Strategies: Emotion Focused
149
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
149
01:21Cancer Survival Analysis
456
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
456
02:34Empathy
9.7K
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
9.7K
01:27Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
02:56Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K