Preyde Michèle, Synnott Emily
Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada N1G 2W1.
J Evid Based Soc Work. 2009 Oct;6(4):321-47. doi: 10.1080/15433710903126521.
Cancer affects a significant number of people and their families. In addition to physical symptoms, people with cancer experience considerable levels of psychosocial distress. Psychosocial oncology has been developed to address this distress. In this meta-analysis, psychosocial interventions for adults with cancer were systematically reviewed. A central finding was the dearth of clinical trials published by social work researchers and clinicians. Small intervention effects were noted for some psychosocial interventions, particularly those in which a focus on stress and coping were included; however, the poor quality of reporting negated conclusive results. The synthesis of research conducted and reported with methodological rigor may inform social work practice, with the ultimate goal of improving the quality of patient care and the quality of patient outcomes. The implications for social work clinicians and researchers are discussed.
癌症影响着大量人群及其家庭。除了身体症状外，癌症患者还经历着相当程度的心理社会困扰。心理社会肿瘤学应运而生，旨在解决这一困扰。在这项荟萃分析中，对针对成年癌症患者的心理社会干预措施进行了系统回顾。一个核心发现是社会工作研究人员和临床医生发表的临床试验数量不足。一些心理社会干预措施显示出较小的干预效果，特别是那些包含对压力和应对的关注的措施；然而，报告质量较差使得出确凿结果变得困难。以严谨的方法进行和报告的研究综合结果可能会为社会工作实践提供参考，最终目标是提高患者护理质量和患者治疗效果。文中还讨论了对社会工作临床医生和研究人员的启示。
