Olesen Mette Linnet, Hansson Helena, Ottesen Bent, Thranov Ingrid Regitze, Thisted Lise Bjerrum, Zoffmann Vibeke
Juliane Marie Centre, Research Unit Women's and Children's Health Dept. 7821, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Juliane Marie Centre, Research Unit Women's and Children's Health Dept. 7821, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Eur J Oncol Nurs. 2015 Aug;19(4):349-58. doi: 10.1016/j.ejon.2015.01.007. Epub 2015 Feb 16.
To develop and pilot test an intervention targeting the women's psychosocial needs during the follow-up period after surgical treatment for gynaecological cancer.
The project consisted of four phases. Phase 1 involved development of an intervention on the basis of meetings with key healthcare professionals, a literature review and six semi-structured interviews with women who attended the existing follow-up program. The Guided Self-Determination (GSD) method developed in diabetes care was identified as an appropriate framework for the intervention. GSD consists of reflection sheets for patients and advanced professional communication skills. The GSD method was adapted to women in a follow-up program after gynaecologic cancer treatment (GSD-GYN-C). Phase 2 involved primary pilot testing of the intervention and the findings were used to modify the intervention in phase 3. This modification involved the development of additional reflection sheets and a fidelity assessment tool. A systematic training program was arranged for the GSD-GYN-C-nurses. Phase 4 involved secondary pilot testing where nurses and women confirmed the applicability of GSD-GYN-C and final adjustments were made. Selected measurements were tested for sensitivity during pilot testing. Data from phase 2 and 4 were also used to select the primary outcome and calculate power for a future randomized clinical trial (RCT).
Pilot testing supported our hypothesis that GSD-GYN-C may be transferable and useful to survivors of gynaecological cancer.
GSD-GYN-C was developed and validated and is now ready for evaluation in an RCT.
开发并初步测试一种针对妇科癌症手术治疗后随访期女性心理社会需求的干预措施。
该项目包括四个阶段。第一阶段包括在与关键医疗保健专业人员会面、文献综述以及对参加现有随访项目的女性进行六次半结构化访谈的基础上开发一种干预措施。在糖尿病护理中开发的引导式自我决定（GSD）方法被确定为该干预措施的合适框架。GSD包括患者反思表和高级专业沟通技巧。GSD方法被改编用于妇科癌症治疗后随访项目中的女性（GSD-GYN-C）。第二阶段涉及对干预措施的初步试点测试，测试结果用于在第三阶段修改干预措施。这种修改包括开发额外的反思表和一个保真度评估工具。为GSD-GYN-C护士安排了一个系统的培训项目。第四阶段涉及二次试点测试，护士和女性确认了GSD-GYN-C的适用性并进行了最终调整。在试点测试期间对选定的测量方法进行了敏感性测试。第二阶段和第四阶段的数据也用于选择主要结局并计算未来随机临床试验（RCT）的效能。
试点测试支持了我们的假设，即GSD-GYN-C可能对妇科癌症幸存者具有可转移性且有用。
GSD-GYN-C已开发并验证，现在准备好在随机对照试验中进行评估。
