Department of Social Work, George Mason University, Fairfax, Virginia, USA.
Soc Work Health Care. 2010;49(9):872-90. doi: 10.1080/00981389.2010.499826.
While the incidence of psychological distress among people receiving treatment for cancer in outpatient treatment settings has received attention by researchers, few studies have investigated the incidence of psychological distress in inpatient settings. Similarly, efficacy or effectiveness studies describing psychosocial interventions with cancer patients in inpatient settings are all but absent from the research literature. The purpose of this study was to screen for psychological distress among persons receiving inpatient treatment for cancer and to then test the efficacy of a communications model known as FLEX Care®, used to enhance routine psychosocial care, in an effort to reduce measurable levels of psychological distress. Following the vetting of more than 400 potential participants, 35 met rigorous screening criteria and also consented to participate in this randomized pre-post control group study. The intervention group received the FLEX Care®-enhanced routine psychosocial intervention, while the control group received the routine psychosocial intervention alone. Mean scores for psychological distress were found to be nearly twice as high in the study sample as those levels reported in outpatient studies. Additionally, participants who received the FLEX Care®-enhanced psychosocial intervention experienced a significant reduction in psychological distress in contrast to participants in the control setting. The findings from this study underscore the need to screen for symptoms of psychological distress in inpatient settings and lend preliminary support to the use of personalized psychosocial intervention strategies that can be used as adjuvant to routine psychosocial care in the inpatient setting to reduce psychological distress.
虽然接受门诊治疗的癌症患者的心理困扰发生率已引起研究人员的关注，但很少有研究调查住院环境中心理困扰的发生率。同样，描述住院癌症患者的心理社会干预的疗效或有效性研究在研究文献中几乎没有。本研究的目的是筛查接受癌症住院治疗的人群中的心理困扰，然后测试一种称为 FLEX Care®的沟通模式的疗效，该模式用于增强常规心理社会护理，以努力降低可衡量的心理困扰水平。在对 400 多名潜在参与者进行审查后，35 名参与者符合严格的筛选标准，并同意参与这项随机前后对照研究。干预组接受了 FLEX Care®增强的常规心理社会干预，而对照组仅接受常规心理社会干预。研究样本中的心理困扰平均得分几乎是门诊研究报告水平的两倍。此外，与对照组的参与者相比，接受 FLEX Care®增强型心理社会干预的参与者的心理困扰显著减轻。这项研究的结果强调了在住院环境中筛查心理困扰症状的必要性，并初步支持使用个性化心理社会干预策略，这些策略可以作为常规心理社会护理的辅助手段，在住院环境中减轻心理困扰。
