Wells M E, McQuellon R P, Hinkle J S, Cruz J M
Cancer Pract. 1995 Mar-Apr;3(2):100-4.
This study tested the efficacy of a pilot orientation program in reducing distress levels of patients with newly diagnosed cancer. Thirty-three consecutive patients were randomly assigned to an intervention or to a usual-care control group. The intervention group received a clinic tour, general information, and the opportunity to pose questions to an oncology counselor. The dependent variables were measured by the Profile of Mood States-Short Form-Total Mood Disturbance Scale and the State Trait Anxiety Inventory. Scores on the dependent measures were significantly lower in the intervention group. These results suggest that a simple orientation can greatly benefit patients with newly diagnosed cancer. The orientation may reduce anxiety and overall distress by helping patients manage novelty and unpredictability in the unfamiliar clinic setting. This intervention can be delivered within the context of a busy hematology/oncology outpatient clinic.
本研究测试了一项试点定向计划在降低新诊断癌症患者痛苦水平方面的效果。连续33名患者被随机分配到干预组或常规护理对照组。干预组接受了一次诊所参观、一般信息介绍,并有机会向肿瘤学顾问提问。因变量通过情绪状态简表-总情绪困扰量表和状态-特质焦虑量表进行测量。干预组在因变量测量上的得分显著更低。这些结果表明,一个简单的定向计划可以让新诊断癌症患者大大受益。该定向计划可以通过帮助患者应对陌生诊所环境中的新奇和不可预测性来减轻焦虑和总体痛苦。这种干预可以在繁忙的血液学/肿瘤学门诊环境中实施。