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对南澳大利亚农村地区癌症患者住宿设施中的社会工作服务进行的评估。

An evaluation of social work services in a cancer accommodation facility for rural South Australians.

作者信息

Wiggins Bonnie, Corsini Nadia, Ramsey Imogen, Edwards Suzanne, Ball Deb, Cocks Lesley, Lill Jo, Sharplin Greg, Wilson Carlene

机构信息

Cancer Council SA, 202 Greenhill Rd, Eastwood, SA, 5063, Australia.

University of Adelaide, North Tce, Adelaide, SA, 5000, Australia.

出版信息

Support Care Cancer. 2018 Jan;26(1):147-154. doi: 10.1007/s00520-017-3828-z. Epub 2017 Jul 31.

Abstract

PURPOSE

The purpose of this investigation was to evaluate the social work service at an accommodation facility for people receiving cancer treatment away from home with a focus on distress, impact of support, and type of assistance received from the social work service.

METHOD

Guests who stayed at the Cancer Council Lodge during June 2015 were mailed a questionnaire collecting information about level of distress upon arrival and departure, impact of support in several areas, and what the service assisted them with specifically.

RESULTS

The sample comprised 149 guests. Social work contact (n = 19) was associated with greater reduction in distress between arrival and departure compared with no contact (n = 56). Contact with a social worker was associated with greater odds of agreeing or strongly agreeing that guests felt supported in 6 out of 10 areas assessed. These areas were managing the challenges related to cancer, approaching support services, asking questions of healthcare teams, accessing support services, coping with strong emotions, and understanding reactions of family and friends. The most common types of support received were emotional and informational support.

CONCLUSIONS

This study describes some of benefits of providing social work services to people receiving cancer treatment away from home and has implications for provision of social work service resources in similar settings. Further research could investigate the impact of this service in similar settings using randomised controlled trials to better account for potential biases. Research in this area has potential to inform program development and policy.

摘要

目的

本调查旨在评估一家为离家接受癌症治疗的患者提供住宿的机构中的社会工作服务,重点关注痛苦程度、支持的影响以及从社会工作服务中获得的援助类型。

方法

向2015年6月入住癌症理事会旅馆的客人邮寄了一份问卷,收集有关抵达和离开时的痛苦程度、几个领域的支持影响以及该服务具体协助他们的内容等信息。

结果

样本包括149名客人。与未接触社会工作者(n = 56)相比,接触社会工作者(n = 19)的客人在抵达和离开之间痛苦程度的降低幅度更大。在评估的10个领域中的6个领域,与社会工作者接触的客人更有可能同意或强烈同意他们感到得到了支持。这些领域包括应对与癌症相关的挑战、联系支持服务、向医疗团队提问、获取支持服务、应对强烈情绪以及理解家人和朋友的反应。获得的最常见支持类型是情感支持和信息支持。

结论

本研究描述了为离家接受癌症治疗的患者提供社会工作服务的一些益处,并对在类似环境中提供社会工作服务资源具有启示意义。进一步的研究可以使用随机对照试验来调查该服务在类似环境中的影响,以更好地考虑潜在偏差。该领域的研究有可能为项目开发和政策提供参考。

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