Ambler N, Rumsey N, Harcourt D, Khan F, Cawthorn S, Barker J
Frenchay Healthcare Trust, Bristol, England.
J Adv Nurs. 1999 Feb;29(2):445-53. doi: 10.1046/j.1365-2648.1999.00902.x.
Over recent years, specialist breast care nurses have become increasingly recognized as core members of any breast care team within the UK. Part of the role is to support patients at the highly stressful stage of receiving a diagnosis. This paper describes an 'advocacy' style of nurse counsellor intervention which aims to improve patients' preparation for, and involvement in, the diagnostic consultation and provides a framework for future counselling support. One hundred and three women undergoing surgery following diagnosis of breast cancer or a benign breast lump were supported using either this advocacy intervention or a more conventional model of care. The aim was to identify the most effective and appropriate method of intervening at this important stage. Assessment took place before surgery, with 2-week and 6-month follow-ups, and included the Hospital Anxiety and Depression Scale, Rotterdam Symptom Check List and semi-structured interviews addressing perceived quality of care, involvement in decision-making and psycho-social functioning. Whilst the results of many measures were similar for women in the two intervention groups, qualitative data support the implementation of the advocacy method by the breast care nurse.
近年来，专科乳腺护理护士在英国已日益被视为任何乳腺护理团队的核心成员。其部分职责是在患者接受诊断这一压力极大的阶段为其提供支持。本文描述了一种护士顾问干预的“支持倡导”方式，旨在改善患者对诊断咨询的准备情况及参与度，并为未来的咨询支持提供一个框架。103名经诊断患有乳腺癌或乳腺良性肿块后即将接受手术的女性，接受了这种支持倡导干预或更传统护理模式的支持。目的是确定在这一重要阶段进行干预的最有效且合适的方法。在手术前、术后2周和6个月进行评估，评估内容包括医院焦虑抑郁量表、鹿特丹症状检查表以及针对感知到的护理质量、参与决策情况和心理社会功能的半结构化访谈。虽然两个干预组女性在许多测量结果上相似，但定性数据支持乳腺护理护士采用支持倡导方法。
