癌症应急教练-护理人员应用程序的试点研究:在HCT护理人员中减少PTSD症状的数字干预
Allison J Applebaum1, Rebecca R Gebert2, Cole Manschot3
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Psycho-oncology
|October 21, 2025
概括
一个名为Cancer Distress Coach-Caregiver (CaDC-C) 的新应用程序显示,它有望减少癌症护理人员的创伤后应激障碍 (PTSD) 症状. 这种数字工具是可行的,可以接受的,并且在管理护理人员的痛苦方面提供了初步的有效性.
科学领域:
- 数字健康数字健康
- 心理社会瘤学
- 护理人员支持护理人员支持
背景情况:
- 血造细胞移植 (HCT) 幸存者的护理人员有患创伤后应激障碍 (PTSD) 的高风险.
- 现有的心理社会支持服务对于这群人来说是不够的.
- 数字健康工具为护理人员的痛苦提供了一个可扩展的解决方案.
研究的目的:
- 评估癌症急救教练-护理人员 (CaDC-C) 移动应用程序的可行性,可接受性和初步有效性.
- 评估CaDC-C作为减少癌症护理人员PTSD症状的第一线干预措施.
主要方法:
- 试点研究涉及顺序多重分配随机试验 (SMART) 设计.
- 参与者被随机分配到CaDC-C或常规护理.
- 在基线,第4周和第14周进行评估,以评估症状改善和应用程序的可接受性.
主要成果:
- 保持率高:在第4周达到82%,在第14周达到70%.
- 实现了应用程序可接受性基准:78.9%的人在第14周报告中度满意度.
- 显著的症状减少:81%的患者在第四周经历了临床上有意义的PTSD症状减少,并显著减少了焦虑 (p=0.02).
结论:
- 对于癌症护理人员来说,CaDC-C是一种可行和可接受的数字干预.
- 该应用程序在减少PTSD和焦虑症状方面表现出初步的有效性.
- 未来的研究应该探索更高强度的干预和更大,多样化的样本.
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