Lee Joo-Young, Park Hye Yoon, Jung Dooyoung, Moon Mihye, Keam Bhumsuk, Hahm Bong-Jin
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Psychooncology. 2014 Aug;23(8):928-35. doi: 10.1002/pon.3503. Epub 2014 Feb 18.
Managing distress has become crucial in optimized cancer care. Psychoeducation using tablet PCs has potential as a novel intervention to reduce distress in cancer patients. We examined the benefit of a single-session psychoeducation using a tablet PC during chemotherapy.
Thirty-six cancer patients with significant levels of distress, as determined by the Hospital Anxiety and Depression Scale (HADS), enrolled from the chemotherapy unit in Seoul National University Cancer Hospital. Participants were quasi-randomized into either the intervention (n = 19) or control (n = 17) group. Twenty-minute-long psychoeducation on distress management was provided via tablet PCs during chemotherapy infusion. HADS, Short-form 8 Health Survey, MD Anderson Symptom Inventory, Insomnia Severity Index, and Impact of Event Scale-Revised (IES-R) were administered at baseline and 3 weeks later. The use of psychosocial services was reviewed 6 months later.
Compared with controls, the intervention group showed a superior 3-week clinical trajectory regarding the score changes of the HADS depression subscale (U = 69.0; p = 0.006), mental component summary score of the Short-form 8 Health Survey (U = 75.5; p = 0.011), Impact of Event Scale-Revised avoidance subscale (U = 89.0; p = 0.036), and Insomnia Severity Index total score (U = 82.5; p = 0.021). There was no significant between-group difference regarding the use of psychosocial services after 6 months.
A tablet PC-based psychoeducation during chemotherapy infusion could be an effective intervention on managing depression, sleep disturbance, and quality of life in cancer patients suffering from distress.
在优化癌症护理中，应对痛苦已变得至关重要。使用平板电脑进行心理教育作为一种新型干预措施，有潜力减轻癌症患者的痛苦。我们研究了在化疗期间使用平板电脑进行单次心理教育的益处。
从首尔国立大学癌症医院化疗科招募了36名根据医院焦虑抑郁量表（HADS）确定有显著痛苦水平的癌症患者。参与者被准随机分为干预组（n = 19）或对照组（n = 17）。在化疗输液期间，通过平板电脑提供了20分钟的痛苦管理心理教育。在基线和3周后进行HADS、简短健康调查问卷8、MD安德森症状量表、失眠严重程度指数和事件影响量表修订版（IES-R）评估。6个月后回顾心理社会服务的使用情况。
与对照组相比，干预组在HADS抑郁子量表评分变化（U = 69.0；p = 0.006）、简短健康调查问卷8的心理成分汇总评分（U = 75.5；p = 0.011）、事件影响量表修订版回避子量表（U = 89.0；p = 0.036）和失眠严重程度指数总分（U = 82.5；p = 0.021）方面显示出更优的3周临床轨迹。6个月后，两组在心理社会服务使用方面无显著差异。
化疗输液期间基于平板电脑的心理教育可能是一种有效干预措施，可用于管理痛苦的癌症患者的抑郁、睡眠障碍和生活质量。
