Deshields Teresa L, Nanna Shannon K
Siteman Cancer Center, Washington University School of Medicine and Barnes-Jewish Hospital, 4921 Parkview Place, Mailstop: 90-35-703, St. Louis, MO 63110, USA.
J Clin Psychol Med Settings. 2010 Sep;17(3):249-57. doi: 10.1007/s10880-010-9208-1.
This paper describes a psycho-oncology consultation model of care (POCM) that provides a framework for psychosocial clinical work with cancer patients. Goals for care are addressed that follow the recommendations of the Institute of Medicine report advocating care for the "whole patient." Specific goals include reducing distress and symptoms, building on the patient's existing strengths, enhancing self-efficacy, expanding the patient's repertoire of healthy coping strategies, and addressing informational needs. Specific interventions are described that clinicians can implement in order to address the above goals. The paper also addresses the unique challenges encountered in working with cancer patients, as well as programmatic difficulties that are inherent in providing mental health care in a medical setting.
本文描述了一种心理肿瘤学咨询护理模式(POCM),该模式为针对癌症患者的社会心理临床工作提供了一个框架。护理目标遵循医学研究所报告的建议,倡导对“全人”进行护理。具体目标包括减轻痛苦和症状、基于患者现有的优势、增强自我效能感、扩大患者健康应对策略的范围以及满足信息需求。文中描述了临床医生为实现上述目标可实施的具体干预措施。本文还探讨了在与癌症患者合作中遇到的独特挑战,以及在医疗环境中提供心理健康护理所固有的程序性困难。