Martin Jérémy, Baussant-Crenn Camille, Ristori Anna, Baeza-Velasco Carolina
Fondation Œuvre de la Croix Saint-Simon, service d'hospitalisation à domicile, 35, rue du Plateau, 75019 Paris, France; Université Paris Descartes, Sorbonne Paris Cité, laboratoire de psychopathologie et processus de santé (EA 4057), 71, avenue Edouard-Vaillant, 92774 Boulogne-Billancourt, France.
Fondation Œuvre de la Croix Saint-Simon, service d'hospitalisation à domicile, 35, rue du Plateau, 75019 Paris, France.
Bull Cancer. 2019 Mar;106(3):216-225. doi: 10.1016/j.bulcan.2018.10.007. Epub 2018 Dec 6.
This controlled pilot study aimed to assess the use of video-consultation to realize psychological clinical consultations in oncology during home-based care. The use of video-consultation for psychological support of cancer patients had never been evaluated in the perspective of an implementation in health services.
Two groups have completed the anxiety-state inventory and the working alliance inventory before and after a clinical consultation using video or face-to-face. Satisfaction levels of each group were compared in order to determine if a video tool could be used in oncology during home-based care.
The therapeutic alliance and the relief of state-anxiety were not influenced by the method used for the clinical consultation: the two groups showed similar evolution on both variables. Satisfaction levels were not different between the two groups, which demonstrate the possibility of using video-consultation among this population.
Despite the limits of this study, video-consultation could be used in oncology during home-based care as it does not deteriorate the relationship with the therapist, the decrease of negative emotions such as anxiety, and patients satisfaction. Moreover, the therapeutic alliance of the youngest patients seems to possibly get reinforced by the use of video-consultation.
这项对照性试点研究旨在评估在居家护理期间使用视频会诊来实现肿瘤学心理临床会诊的情况。从卫生服务实施的角度来看，从未对使用视频会诊为癌症患者提供心理支持进行过评估。
两组患者在使用视频或面对面进行临床会诊之前和之后完成了焦虑状态量表和工作联盟量表。比较每组的满意度水平，以确定视频工具是否可用于居家护理期间的肿瘤学。
临床会诊所采用的方法并未影响治疗联盟和状态焦虑的缓解：两组在这两个变量上的变化相似。两组之间的满意度水平没有差异，这表明在这一人群中使用视频会诊是可能的。
尽管本研究存在局限性，但视频会诊可用于居家护理期间的肿瘤学，因为它不会恶化与治疗师的关系、不会减少焦虑等负面情绪，且不会降低患者满意度。此外，最年轻患者的治疗联盟似乎可能因使用视频会诊而得到加强。
