Roberts J, Browne G B, Streiner D, Gafni A, Pallister R, Hoxby H, Drummond-Young M, LeGris J, Meichenbaum D
Can J Nurs Res. 1995 Fall;27(3):111-37.
The purpose of this randomized controlled trial (RCT) was to determine the effectiveness of problem-solving counselling or phone-call support provided by nurses to outpatients not well adjusted to chronic illness. Subjects (N = 293) completed measures at baseline and after the six-month period of intervention for psychosocial variables including coping behaviours, purpose in life, and psychosocial adjustment to illness. Subjects receiving phone-call support from nurses demonstrated less psychological distress. Results also suggest that problem-solving counselling improves psychosocial adjustment to chronic illness for outpatients who live alone, infrequently use problem-solving coping skills, or frequently use avoidance coping methods. As well, outpatients with a low purpose in life who show infrequent use of problem-solving coping skills appear to benefit most from problem-solving counselling provided by nurses. On the other hand, those not well adjusted who frequently use problem-solving coping seem to be served more effectively by phone-call support.
这项随机对照试验（RCT）的目的是确定护士为未很好适应慢性病的门诊患者提供的解决问题咨询或电话支持的有效性。受试者（N = 293）在基线时以及在为期六个月的干预期后完成了针对心理社会变量的测量，这些变量包括应对行为、生活目的以及对疾病的心理社会适应。接受护士电话支持的受试者表现出较少的心理困扰。结果还表明，对于独居、很少使用解决问题应对技巧或经常使用回避应对方法的门诊患者，解决问题咨询可改善其对慢性病的心理社会适应。此外，生活目的较低且很少使用解决问题应对技巧的门诊患者似乎从护士提供的解决问题咨询中受益最大。另一方面，那些适应不良但经常使用解决问题应对方法的患者似乎通过电话支持能得到更有效的帮助。
