Efficacy of a brief nurse-led pilot psychosocial intervention for newly diagnosed Asian cancer patients

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• 作者：Rathi Mahendran ; Haikel A. Lim ; Joyce Y. S. Tan ; Joanne Chua…
• 关键词：Oncology ; Nursing ; Intervention ; Emotional distress ; Asia
• 刊名：Supportive Care in Cancer
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：23
• 期：8
• 页码：2203-2206
• 全文大小：150 KB
• 参考文献：1.Lim HA, Mahendran R, Chua J et al (2014) The distress thermometer as an ultra-short screening tool: a first validation study for mixed-cancer outpatients in Singapore. Compr Psychiatry 55:1055-062. doi:10.-016/?j.?comppsych.-014.-1.-08 PubMed View Article
  2.Mahendran R, Lim HA, Chua J et al (2015) Psychosocial concerns of cancer patients in Singapore. Asia Pac J Clin Oncol. doi:10.-111/?ajco.-2344 PubMed
  3.Kua EH (2004) Focus on psychiatry in Singapore. Br J Psychiatry 185:79-2. doi:10.-192/?bjp.-85.-.-9 PubMed View Article
  4.World Health Organization (2014) Cancer Fact Sheet N°297
  5.National Registry of Diseases Office (2012) Singapore cancer registry: interim annual registry report trends in cancer incidence in Singapore 2008-012. Singapore
  6.Galway K, Black A, Cantwell M et al (2012) Psychosocial interventions to improve quality of life and emotional wellbeing for recently diagnosed cancer patients. Cochrane Database Syst Rev 11:CD007064. doi:10.-002/-4651858.?CD007064.?pub2 PubMed
  7.Mahendran R, Chua J, Peh CX et al (2014) Knowledge, attitudes, and practice behaviors (KAPb) of nurses and the effectiveness of a training program in psychosocial cancer care. Support Care Cancer 22:2049-056. doi:10.-007/?s00520-014-2172-9 PubMed View Article
  8.Fawzy FI (1999) Psychosocial interventions for patients with cancer: what works and what doesn’t. Eur J Cancer 35:1559-164. doi:10.-016/?S0959-8049(99)00191-4 PubMed View Article
  9.Roth AJ, Kornblith AB, Batel-copel L et al (1998) Rapid screening for psychologic distress in men with prostate carcinoma: a pilot study. Cancer 82:1904-908. doi:10.-002/-SICI)1097-0142(19980515)82:-0<1904:-?AID-CNCR13>3.-.?CO;2-X PubMed View Article
  10.Herdman M, Gudex C, Lloyd A et al (2011) Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res 20:1727-736. doi:10.-007/?s11136-011-9903-x PubMed Central PubMed View Article
  
• 作者单位：Rathi Mahendran (1) (2) (3)
  Haikel A. Lim (1)
  Joyce Y. S. Tan (1)
  Joanne Chua (2)
  Siew Eng Lim (4)
  Emily N. K. Ang (4) (5)
  Ee Heok Kua (1) (2)
  
  1. Department of Psychological Medicine, National University of Singapore, Singapore, Singapore
  2. Department of Psychological Medicine, National University Hospital, Singapore, Singapore
  3. Duke-NUS Graduate Medical School, Singapore, Singapore
  4. National University Cancer Institute, Singapore, National University Health System, Singapore, Singapore
  5. Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Oncology
  Nursing
  Nursing Management and Research
  Pain Medicine
  Rehabilitation Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7339

文摘

Purpose Cancer patients experience distress and high levels of psychosocial concerns. However, in Asian countries like Singapore, patients are often unwilling to seek support and help from mental healthcare professionals, but, instead, are more willing to confide in nurses. This quasi-experimental study developed and tested the efficacy of a brief nurse-led psychosocial intervention to alleviate these patients-distress, minor psychiatric morbidity, and psychosocial concerns. Methods The semi-structured intervention comprised 20- to 30-minute face-to-face sessions with trained oncology nurses, monthly for 2?months and then bimonthly for 4?months. Patients received psycho-education on symptoms of stress, anxiety, and depression and counseling and were taught behavioral techniques such as deep breathing, progressive muscle relaxation, and positive self-talk. Results The results of this study found that patients who received the intervention had reduced distress, depression, and anxiety levels and improved quality of life (QOL) at 6?months. Conclusions Although further research is necessary to explore the efficacy and viability of this intervention, findings support brief nurse-led psycho-educational interventions in Asian settings especially for cancer patients reluctant to seek help from mental health professionals.