在家庭护理中实用性随机控制试点试验简短的以意义为中心的心理治疗
Rebecca M Saracino1, Ellen Y Park1, Hayley Pessin1
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Cancer
|September 14, 2025
概括
在接受家庭护理的晚期癌症患者中,短暂的护士交付心理治疗干预 (MCP-H) 是可行的和可以接受的. 与标准护理相比,它显示了意义和心理社会结果的有希望的改善.
科学领域:
- 瘤科 护理 护理专业
- 心理社会瘤学
- 主页 医疗保健 医疗保健
背景情况:
- 在家庭护理中患有晚期癌症的患者往往会经历显著的心理社会和生存困境.
- 现有的干预措施很少在家庭医疗保健环境中解决这些具体问题.
研究的目的:
- 评估高级癌症患者的简短,护士交付的,以意义为中心的心理治疗 (MCP-H) 的可行性,可接受性和初步疗效.
- 在试点随机对照试验中,将MCP-H与通常治疗 (TAU) 进行比较.
主要方法:
- 一项试点随机对照试验,涉及71名晚期癌症患者 (18岁以上) 随机分配到MCP-H (n=33) 或TAU (n=32).
- 通过招聘,保留,数据完成,忠诚度和参与度评估可行性. 患者和护士评价的可接受性.
- 从基线到6周和10周,初步疗效通过含义变化和二次心理社会结果来衡量.
主要成果:
- 高可行性通过招聘 (75%),保留 (74-75%),参与 (94%完成) 和坚持 (87%) 来证明.
- 干预MCP-H是高度可接受的 (96%的满意度).
- 与TAU相比,MCP-H组在意义上显著改善 (科恩d=0.59在6周,d=0.39在10周) 和其他心理社会结果.
结论:
- 医院,临终关怀和家庭的以意义为中心的心理治疗 (MCP-H) 是在家庭护理中对晚期癌症患者的可行和可接受的干预措施.
- 该干预措施显示出有希望的初步临床疗效.
- 需要进行更大规模,更强大的试验来证实这些发现,并评估更广泛的卫生系统影响.
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