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乳腺癌:“共同旅程”乳腺癌支持小组的评估

Breast cancer: evaluation of the Common Journey Breast Cancer Support Group.

作者信息

Zeigler Linda, Smith Patricia A, Fawcett Jacqueline

机构信息

Education Department, Penobscot Bay Medical Center, Rockport, ME, USA.

出版信息

J Clin Nurs. 2004 May;13(4):467-78. doi: 10.1046/j.1365-2702.2003.00893.x.

Abstract

BACKGROUND

Most studies of cancer support groups have focused on the effects of groups established for research purposes, from the exclusive perspective of the group participants.

AIM

This Roy Adaptation Model-based programme evaluation project focused on identifying the experiences of both participants in and facilitators of a community hospital-sponsored breast cancer support group.

DESIGN

Repeated measures survey methodology.

METHODS

Ten women with breast cancer and two Registered Nurse group facilitators participated in the programme evaluation project. Qualitative data were analysed using content analysis. Themes extracted from the data were categorized according to the Roy Adaptation Model modes of adaptation. The group participants completed Initial and End of Year Interview Guides and Group Voices Forms; the group facilitators completed the Facilitators' Voices Form. The Institutional Review Committee of a community hospital approved the programme evaluation project.

RESULTS

The Common Journey Breast Cancer Support Group is a community hospital-sponsored cancer support group established to meet the informational, emotional support, and social support needs of women with breast cancer who reside in a rural state in the New England region of the USA. Responses of participants and facilitators, which reflected all four of the Roy model modes of adaptation, indicated that the combination of information and emotional and social support was effective.

CONCLUSIONS

Nurses and other health professionals who establish community-based cancer support groups should consider formal evaluation of the outcomes, from the perspectives of both participants and facilitators, and should publish the results. The results of this programme evaluation project are limited to one breast cancer support group with a small number of female participants and two facilitators. Results cannot be generalized to support groups for other types of cancer or to cancer support groups for men.

RELEVANCE TO CLINICAL PRACTICE

Nurses and other health professionals should consider establishing and facilitating community hospital-sponsored support groups for women with breast cancer, which have the potential to meet the women's informational, emotional support, and social support needs.

摘要

背景

大多数癌症支持小组研究都聚焦于为研究目的而设立的小组的效果,且仅从小组参与者的角度进行研究。

目的

这个基于罗伊适应模式的项目评估项目旨在确定社区医院资助的乳腺癌支持小组的参与者和 facilitators 的经历。

设计

重复测量调查方法。

方法

10 名乳腺癌女性患者和 2 名注册护士小组 facilitators 参与了该项目评估。定性数据采用内容分析法进行分析。从数据中提取的主题根据罗伊适应模式的适应方式进行分类。小组参与者完成了年初和年末访谈指南以及小组心声表格;小组 facilitators 完成了 facilitators 心声表格。一家社区医院的机构审查委员会批准了该项目评估。

结果

共同旅程乳腺癌支持小组是一个由社区医院资助的癌症支持小组,旨在满足居住在美国新英格兰地区一个农村州的乳腺癌女性患者的信息、情感支持和社会支持需求。参与者和 facilitators 的反馈反映了罗伊模式的所有四种适应方式,表明信息与情感及社会支持的结合是有效的。

结论

建立社区癌症支持小组的护士和其他卫生专业人员应从参与者和 facilitators 两个角度考虑对结果进行正式评估,并应公布结果。该项目评估的结果仅限于一个乳腺癌支持小组,参与者人数较少且有两名 facilitators。结果不能推广到其他类型癌症的支持小组或男性癌症支持小组。

与临床实践的相关性

护士和其他卫生专业人员应考虑为乳腺癌女性患者建立并推动由社区医院资助的支持小组,这些小组有可能满足女性患者的信息、情感支持和社会支持需求。

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