Reb Anne, Ruel Nora, Fakih Marwan, Lai Lily, Salgia Ravi, Ferrell Betty, Sampath Sagus, Kim Jae Y, Raz Dan J, Sun Virginia
Division of Nursing Research and Education, Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, United States.
Biostatistics Core, Department of Information Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, United States.
Eur J Oncol Nurs. 2017 Aug;29:125-134. doi: 10.1016/j.ejon.2017.06.003. Epub 2017 Jun 19.
This study evaluates the feasibility and acceptability of a Self-Management Survivorship Care Planning (SM-SCP) intervention in colorectal and lung cancer survivors.
This is a single-group, pre- and post-mixed methods study of an advance practice nurse-driven survivorship care intervention that integrates a survivorship care plan with self-management skills coaching. Colorectal and lung cancer survivors with stage I-III disease were enrolled at 3-6 months after completing treatments, and the intervention was administered in one in-person or telephone session. Survivor outcome measures included depression, anxiety, self-efficacy, QOL, and satisfaction. Paired t-tests were used for exploratory evaluations of pre-to post-intervention score changes. Content analysis was conducted to analyze the qualitative data to describe survivors' experience with the intervention.
Thirty participants (15 colorectal, 15 lung) enrolled and completed the study (73% retention). It took an average of 40 min to complete the TS/CP and 34.2 min to deliver the intervention. Exploratory analysis revealed significant differences from baseline to post-intervention in depression, anxiety, self-efficacy, physical functioning, role limitations-physical, pain, general health, health transition, physical health summary, and total QOL. Three qualitative themes emerged: 1) Feeling empowered about having a plan; 2) Struggling with psychosocial concerns; and 3) Suggestions for intervention content and delivery.
The SM-SCP intervention was feasible and acceptable for colorectal and lung cancer survivors after treatment completion. Survivorship care interventions have potential to fulfill the unmet needs of colorectal and lung cancer survivors. Their effectiveness might be greater by integrating conceptually-based models of care, such as self-management skills building.
本研究评估自我管理生存护理计划（SM-SCP）干预措施在结直肠癌和肺癌幸存者中的可行性和可接受性。
这是一项单组、前后混合方法研究，涉及一项由高级实践护士主导的生存护理干预措施，该措施将生存护理计划与自我管理技能指导相结合。I-III期结直肠癌和肺癌幸存者在完成治疗后3-6个月入组，干预通过一次面对面或电话会议进行。幸存者结局指标包括抑郁、焦虑、自我效能感、生活质量和满意度。配对t检验用于对干预前后得分变化进行探索性评估。进行内容分析以分析定性数据，描述幸存者对干预措施的体验。
30名参与者（15名结直肠癌患者，15名肺癌患者）入组并完成研究（保留率73%）。完成生存护理计划平均需要40分钟，实施干预平均需要34.2分钟。探索性分析显示，从基线到干预后，在抑郁、焦虑、自我效能感、身体功能、身体角色限制、疼痛、总体健康、健康转变、身体健康总结和总生活质量方面存在显著差异。出现了三个定性主题：1）对拥有计划感到有力量；2）与心理社会问题作斗争；3）对干预内容和实施的建议。
SM-SCP干预措施在结直肠癌和肺癌幸存者完成治疗后是可行且可接受的。生存护理干预措施有潜力满足结直肠癌和肺癌幸存者未得到满足的需求。通过整合基于概念的护理模式，如自我管理技能培养，其效果可能会更好。
