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在应对晚期癌症的患者及其照护者中,沟通技巧培训和以意义为中心的心理治疗概念的重要性。

Importance of Communication Skills Training and Meaning Centered Psychotherapy Concepts among Patients and Caregivers Coping with Advanced Cancer.

机构信息

School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, PR 00716, USA.

Ponce Research Institute, Ponce Health Sciences University, Ponce, PR 00716, USA.

出版信息

Int J Environ Res Public Health. 2023 Mar 2;20(5):4458. doi: 10.3390/ijerph20054458.

Abstract

Latinos are more likely to be diagnosed with advanced cancer and have specific existential and communication needs. Concepts within Meaning-Centered Psychotherapy (MCP) interventions and Communications Skills Training (CST) assist patients in attending to these needs. However, Latino-tailored MCP interventions have yet to be adapted for advanced cancer patients and caregivers. A cross-sectional survey was administered to Latino advanced cancer patients and caregivers where participants rated the importance of the goals and concepts of MCP and CST. Fifty-seven ( = 57) Latino advanced cancer patients and fifty-seven ( = 57) caregivers completed the survey. Most participants rated MCP concepts as extremely important, ranging from 73.75% to 95.5%. Additionally, 86.8% favored finding meaning in their life after a cancer diagnosis. Participants (80.7%) also selected the concept of finding and maintaining hope to cope with their cancer diagnosis. Finally, participants found CST concepts and skills acceptable, ranging from 81.6% to 91.2%. Results indicate the acceptability of Meaning-Centered Therapy and Communication Skills Training among Latino advanced cancer patients and caregivers coping with advanced cancer. These results will inform the topics to be discussed in a culturally adapted psychosocial intervention for advanced cancer patients and their informal caregivers.

摘要

拉丁裔患者更有可能被诊断出晚期癌症,并具有特定的存在和沟通需求。意义中心心理治疗(MCP)干预和沟通技巧培训(CST)中的概念可以帮助患者满足这些需求。然而,针对晚期癌症患者和照护者的拉丁裔定制 MCP 干预措施尚未被采用。一项横断面调查针对拉丁裔晚期癌症患者和照护者进行,参与者对 MCP 和 CST 的目标和概念的重要性进行了评分。共有 57 名拉丁裔晚期癌症患者和 57 名照护者完成了调查。大多数参与者将 MCP 概念评为非常重要,范围从 73.75%到 95.5%。此外,86.8%的参与者赞成在癌症诊断后寻找生活的意义。参与者(80.7%)还选择了寻找和保持希望以应对癌症诊断的概念。最后,参与者认为 CST 概念和技能可以接受,范围从 81.6%到 91.2%。结果表明,晚期癌症的拉丁裔患者和照护者可以接受意义中心疗法和沟通技巧培训。这些结果将为针对晚期癌症患者及其非正式照护者的文化适应性心理社会干预措施中要讨论的主题提供信息。

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