Graduate School of Human Sciences, Osaka University, Osaka, Japan.
Toyonaka Municipal Hospital, Osaka, Japan.
Jpn J Clin Oncol. 2019 Mar 1;49(3):245-256. doi: 10.1093/jjco/hyy191.
The purpose of the present study was to categorize and develop lists of contents of problems, goals, solution plans generated through the brainstorming work in therapy, and selected solutions for execution, that treated in problem-solving therapy (PST) for cancer patients in clinical settings, and to describe their characteristics. Additionally, examining the associations of problem domains with characteristics of participants, was also aimed.
We conducted content analysis using records of thirty-one cancer patients (M = 62.6 years old; SD = 10.5) who participated in PST program.
Problems were categorized into four domains (e.g. psychological and existential problems; physical problems; social relations; social living environment). Participants under treatment at baseline reported psychological and existential problems most often (P < 0.05). Goals were categorized into four domains (e.g. improving mental health; improving physical functions; improving social relations and improving one's social living environment). Solution plans generated through the brainstorming work in therapy were categorized into four domains (e.g. emotion regulation/cognitive adjustment; health behaviors; adjustment of social relationships and adjusting one's social living environment). Selected solutions for execution were categorized into four domains (e.g. emotion regulation/cognitive adjustment; health behaviors; adjustment of social relationships and adjusting one's social living environment).
We found that various problems, goals and solutions were treated in PST of realistic clinical setting. Creating lists based on our study and making use of it for the materials as aids while implementing the PST or being shared with patients and medical staff would be expected.
本研究的目的是对在临床环境中对癌症患者进行问题解决治疗(PST)时通过头脑风暴产生的问题、目标、解决方案计划的内容进行分类和编制清单,并描述其特征。此外,还旨在研究问题领域与参与者特征之间的关联。
我们对 31 名癌症患者(M = 62.6 岁,SD = 10.5)的记录进行了内容分析,这些患者参加了 PST 计划。
问题分为四个领域(如心理和存在问题;身体问题;社会关系;社会生活环境)。基线治疗的参与者最常报告心理和存在问题(P <0.05)。目标分为四个领域(如改善心理健康;改善身体功能;改善社会关系和改善社会生活环境)。通过头脑风暴产生的治疗方案计划分为四个领域(如情绪调节/认知调整;健康行为;调整社会关系和调整社会生活环境)。选定的执行解决方案分为四个领域(如情绪调节/认知调整;健康行为;调整社会关系和调整社会生活环境)。
我们发现,在现实临床环境中 PST 治疗了各种问题、目标和解决方案。根据我们的研究编制清单,并在实施 PST 或与患者和医务人员共享时将其作为辅助材料加以利用,是值得期待的。