Samarel Nelda, Tulman Lorraine, Fawcett Jacqueline
William Paterson University of New Jersey, Wayne, NJ, USA.
Res Nurs Health. 2002 Dec;25(6):459-70. doi: 10.1002/nur.10061.
A Roy adaptation model-based support and education intervention for women with early-stage breast cancer was tested in a three-group, three-phase randomized clinical trial of a sample of 125 women. The experimental group received 13 months of combined individual telephone and in-person group support and education, Control Group 1 received 13 months of telephone-only individual support and education, and Control Group 2 received one-time mailed educational information. The experimental group and Control Group 1 reported less mood disturbance at the end of all three phases, less loneliness at the end of Phases II and III, and a higher-quality relationship with a significant other at the end of Phase II than did Control Group 2. No group differences were found for cancer-related worry or well-being. The findings suggest that individual telephone support may provide an effective alternative to in-person support groups. Further study of telephone interventions is recommended using ethnically and economically heterogeneous samples.
在一项针对125名女性样本的三组、三阶段随机临床试验中，对一种基于罗伊适应模式的早期乳腺癌女性支持与教育干预措施进行了测试。实验组接受了为期13个月的个人电话与面对面小组支持及教育相结合的服务，对照组1接受了为期13个月的仅通过电话提供的个人支持与教育服务，对照组2则收到了一次性邮寄的教育信息。与对照组2相比，实验组和对照组1在所有三个阶段结束时报告的情绪困扰更少，在第二阶段和第三阶段结束时孤独感更少，且在第二阶段结束时与重要他人的关系质量更高。在癌症相关担忧或幸福感方面未发现组间差异。研究结果表明，个人电话支持可能是面对面支持小组的一种有效替代方式。建议使用种族和经济背景各异的样本对电话干预进行进一步研究。
