Arnaboldi Paola, Oliveri Serena, Vergani Laura, Marton Giulia, Guiddi Paolo, Busacchio Derna, Didier Florence, Pravettoni Gabriella
Psychiatry and Medical Psychology Service (SPPM), Cantonal Socio-Psychiatric Organisation (OSC), Via Tesserete 67, 6942 Savosa, Switzerland.
Ticino League against Cancer, Piazza Nosetto, 3, 6500 Bellinzona, Switzerland.
Ecancermedicalscience. 2020 Jan 13;14:1000. doi: 10.3332/ecancer.2020.1000. eCollection 2020.
Integrating the psychosocial perspective in oncology is warranted. Here, we introduce a structured psychological intervention, the clinical-care focused psychological interview (CLiC), to address patients' needs in the relationship with health professionals, clinical pathway and decision-making process. The perceived utility and feasibility of the CLiC were evaluated in a preliminary sample of 30 patients who were candidates to undergo a radical cystectomy at the European Institute of Oncology, Milan, Italy. Patients reported a very high satisfaction with the interview, because it prepared them for their upcoming surgery by gathering more information about their clinical pathway and allowed them to discover the information they still needed. 30% stated that CLiC helped them to reorganise their thoughts and 36.7% understood the role of psychological intervention in the clinical pathway. Only 20% considered the CLiC useful in helping to build their relationship with the clinical staff. Before an invasive surgery such as radical cystectomy, patients' need for information regarding the upcoming surgery seems to prevail. Knowing the future consequences and adjusting toward the disease could be paramount for patients in facing uncertainty and they might feel that creating a relationship with physicians could be a secondary issue. However, our data show that a structured psychological intervention such as the CLiC interview can collect important information for patients and healthcare professionals to develop real patient-centred care.
将社会心理视角融入肿瘤学是有必要的。在此，我们引入一种结构化心理干预措施，即聚焦临床护理的心理访谈（CLiC），以满足患者在与医护人员的关系、临床路径及决策过程方面的需求。在意大利米兰欧洲肿瘤研究所30名拟接受根治性膀胱切除术的患者初步样本中，对CLiC的感知效用和可行性进行了评估。患者对访谈满意度很高，因为它通过收集更多关于其临床路径的信息，让他们为即将进行的手术做好准备，并使他们发现自己仍需要的信息。30%的患者表示CLiC帮助他们重新整理了思路，36.7%的患者理解了心理干预在临床路径中的作用。只有20%的患者认为CLiC有助于建立他们与临床工作人员的关系。在诸如根治性膀胱切除术这样的侵入性手术之前，患者对即将进行的手术的信息需求似乎最为突出。了解未来后果并适应疾病对患者面对不确定性可能至关重要，他们可能觉得与医生建立关系可能是次要问题。然而，我们的数据表明，像CLiC访谈这样的结构化心理干预可以为患者和医护人员收集重要信息，以发展真正以患者为中心的护理。
