College of Nursing, The University of Arizona, 1305 N. Martin, Tucson, AZ 85721-0203, USA.
Qual Life Res. 2011 Aug;20(6):833-44. doi: 10.1007/s11136-010-9822-2. Epub 2010 Dec 19.
The primary purpose was to test the effectiveness of two telephone-delivered psychosocial interventions for maintaining and improving quality of life (QOL) (psychological, physical, social, and spiritual well-being) among 71 prostate cancer survivors and the 70 intimate or family partners who were supporting them in their recovery.
This study used a three-wave repeated measures experimental design. Both the interpersonal counseling intervention (TIP-C) and health education attention condition (HEAC) were delivered using the telephone.
Improvements in depression, negative affect, stress, fatigue, and spiritual well-being were significantly higher for survivors in the HEAC than for those in the TIP-C condition. Partners in the HEAC condition showed significantly greater improvements in depression, fatigue, social support from family members, social well-being, and spiritual well-being compared to partners in the TIP-C condition. The results revealed superior outcomes for those assigned to the HEAC intervention.
The psychosocial interventions in this study were effective in maintaining or improving the QOL for prostate cancer survivors and their partners. Both the survivor and their intimate partner or family member benefitted from the interventions. Future research is needed to determine the optimal timing and client characteristics for each intervention.
本研究旨在测试两种电话式心理社会干预对 71 名前列腺癌幸存者及其 70 名在康复过程中支持他们的亲密伴侣或家属的生活质量（心理、生理、社会和精神健康）的维持和改善效果。
本研究采用三波重复测量实验设计。人际咨询干预（TIP-C）和健康教育对照条件（HEAC）均通过电话进行。
与 TIP-C 组相比，HEAC 组幸存者的抑郁、负性情绪、压力、疲劳和精神健康状况显著改善。与 TIP-C 组相比，HEAC 组的伴侣在抑郁、疲劳、家庭成员的社会支持、社会幸福感和精神幸福感方面的改善更为显著。结果表明，接受 HEAC 干预的患者获得了更好的效果。
本研究中的心理社会干预对前列腺癌幸存者及其伴侣的生活质量的维持或改善是有效的。幸存者及其亲密伴侣或家庭成员都从干预中受益。未来的研究需要确定每个干预措施的最佳时机和客户特征。
